摘要
目的对慢性肝炎患者进行B型超声检查,并在B超定位下肝穿刺活检作组织病理学诊断,以明确肝脏的炎症活动分级与肝纤维化程度分期。方法对84例慢性肝炎患者进行超声检查,采取B超定位,组织切割针获取标本,送病理组织学检查。结果84例超声诊断轻度肝损伤53例,中度肝损伤18例,可疑肝硬化8例,肝硬化5例。组织病理学诊断:轻度慢性肝炎39例,中度慢性肝炎26例,早期肝硬化12例,肝硬化7例。结论通过超声定位肝穿刺活检作组织病理学诊断,可了解慢性肝炎的病理分级分期,从而指导临床治疗。
Objective To determine the grades of hepatic inflammatory activity and the stages of hepatic fibrosis degree through the ultrasonic examination and ultrasound guided percutaneous transhepatic needle aspiration biopsy of the patients with chronic hepatitis. Methods Eighty-four patients with chronic hepatitis underwent ultrasonic examination and ultrasound guided percutaneous transhepatic needle aspiration biopsy. Results Among 84 cases in the study, ultrasound diagnosed 53 cases of mild hepatic lesions, 18 cases of middle hepatic lesions, 8 eases of suspectable cirrhosis, and 5 eases of cirrhosis. The histopathology obtained from biopsy materials demonstrated 39 eases of mild chronic hepatitis, 26 eases of middle chronic hepatitis, 12 eases of early cirrhosis, and 7 eases of cirrhosis. Conclusion Ultrasound guided pereutaneous transhepatie needle aspiration biopsy can identify the grading and the staging of chronic hepatitis and therefore it can guide the clinical therapy of this disease.
出处
《实用医学影像杂志》
2006年第1期42-43,共2页
Journal of Practical Medical Imaging
关键词
慢性肝炎
肝硬化
超声定位
活检
Hepatitis, chronic
Cirrhosis
Ultrasound guide
Biopsy
