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目的探讨慢性病毒性肝炎临床分型与病理分型的关系。方法按照“９５方案”就我院１９９３～１９９８年５月经肝穿活检病理确诊的５４６例慢性病毒性肝炎患者，将其临床分型与病理分型及分型诊断标准进行了对比分析。结果本组资料表明按“９５方案”慢性肝炎临床诊断与病理诊断总符合率为８２７８％，轻度、重度与病理符合率分别为９３５４％、９４４４％；中度慢性肝炎符合率仅４０％。慢性肝炎中度与重度ＳＢ、Ａ的比较无统计学意义（Ｐ均＞００５），而ＰＴＡ的比较两组有显著性差异（Ｐ＜００１），ＰＴＡ是判断慢性肝炎病轻重的敏感而可靠的指标。结论“９５方案”比较科学和客观的反映了慢性肝炎的临床诊断标准，但部分诊断标准有待进一步探讨。
Objective To investigate the relationship between clinical classification and pathological classification of chronic viral hepatitis. Methods A total of 546 patients with chronic viral hepatitis diagnosed by biopsy of liver biopsy in our hospital from 1993 to May 1998 were analyzed in accordance with the “95 Plan”, and the diagnostic criteria of their clinical classification, pathological classification and classification were compared. Results The data of this group showed that the total coincidence rate of clinical diagnosis and pathological diagnosis of chronic hepatitis according to “95 Scheme” was 82.78%, the coincidence rates of mild, severe and pathological were 9354% and 9444% respectively; moderate chronic hepatitis In line with the rate of only 40%. Chronic hepatitis moderate and severe SB, A was not statistically significant (P all> 005), while PTA was significantly different between the two groups (P <0 01), PTA is to determine the severity of chronic hepatitis Sensitive and reliable indicator. Conclusion “95 plan” reflects the clinical diagnostic criteria of chronic hepatitis more scientifically and objectively, but some diagnostic criteria need to be further explored.