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[肝脏组织学在慢性肝病诊断中的价值]

[Value of liver histology in diagnosis of chronic hepatopathies].

作者信息

Schmid M

出版信息

Praxis (Bern 1994). 1998 Oct 14;87(42):1397-401.

PMID:9824946
Abstract

The importance of a liver biopsy is summarized as follows: 1. A diagnostic liver biopsy may be helpful in otherwise unexplained liver disease, especially in cases with controversial or unexplicable patterns of laboratory findings or in chronic hepatitis without positive serological markers. 2. Liver histology is necessary for the assessment of the necroinflammatory activity of chronic hepatitis in order to decide on an eventual therapy. Liver biopsy is an important tool as well for the evaluation of liver transplantation in the end stage of several liver diseases as for the diagnosis of transplant-complications. 3. Follow-up biopsies are necessary for supervision of therapy of chronic hepatitis. Histology is the only reliable method for assessment of necroinflammatory activity.

摘要

肝活检的重要性总结如下

  1. 诊断性肝活检可能有助于诊断其他不明原因的肝病,特别是在实验室检查结果存在争议或无法解释的情况下,或在慢性肝炎血清学标志物阴性的病例中。2. 肝组织学对于评估慢性肝炎的坏死性炎症活动以决定最终治疗方案是必要的。肝活检也是评估几种肝病终末期肝移植以及诊断移植并发症的重要工具。3. 随访活检对于慢性肝炎治疗的监测是必要的。组织学是评估坏死性炎症活动的唯一可靠方法。

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