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本文报告了50例肝病活检后同步进行显微(50例)与超微(30例)结构观察的结果,确诊为17种肝病。临床、光、电镜的确诊率分别为54％、96％及26.6％。光、电镜诊断符合率40％。临床与组织学诊断的符合率为54％,不或不完全符合者34％,待查经活检后确诊者12％。其中纠正临床诊断者8例(16％),补充临床诊断者9例(18％)。如确诊了罕见的Wegner肉芽肿、粘多糖沉积病,纠正了多种影像诊断技术误诊了的错构瘤、海绵状血管瘤、肝内局灶性结节性增生等。充分地说明了在现代化诊断技术迅速发展的今天,组织学诊断仍具有不可取代的价值。
This article reports the results of microscopic (50 cases) and ultrastructural (30 cases) simultaneous observations of 50 cases of liver biopsy after biopsy, diagnosed as 17 kinds of liver disease. Clinical, light and electron microscopy were 54%, 96% and 26.6% respectively. Light, electron microscopy coincidence rate of 40%. The coincidence rate of clinical and histological diagnosis was 54%, 34% were not completely or not, and 12% were diagnosed after biopsy. Among them, 8 cases (16%) corrected clinical diagnosis and 9 cases (18%) supplemented clinical diagnosis. Such as the diagnosis of rare Wegner granuloma, mucopolysaccharidosis, to correct a variety of diagnostic imaging misdiagnosed hamartoma, cavernous hemangioma, intrahepatic focal nodular hyperplasia. It fully demonstrates that in the rapid development of modern diagnostic techniques, histological diagnosis still has irreplaceable value.