Ferrell L
University of California, San Francisco, USA.
Anat Pathol. 1997;2:21-33.
The new recommendations for nomenclature, grading, and staging of chronic hepatitis and related biliary and other disorders are attempts to standardize the criteria and simplify the terminology used in making these diagnoses. It is hoped that an emphasis on the etiology as part of the diagnosis will eliminate the previous association with poor prognosis that was implied with a diagnosis of CAH. The inclusion of a system of grading and staging, whether it is numerical or descriptive, simple or complex, matters less than the need for it to communicate important information about the degree of necroinflammatory activity (grade) and the extent of the disease (stage of fibrosis) that are likely factors of prognostic and therapeutic significance.
慢性肝炎及相关胆道疾病和其他病症的命名、分级和分期新建议旨在使标准规范化，并简化这些诊断中使用的术语。希望将病因作为诊断的一部分予以强调，能消除先前与慢性活动性肝炎诊断相关的预后不良暗示。分级和分期系统的纳入，无论其是数字式还是描述性的，简单还是复杂，都不如传达有关坏死性炎症活动程度（分级）和疾病范围（纤维化阶段）的重要信息来得重要，而这些信息可能是具有预后和治疗意义的因素。
