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目的探讨肝穿刺活检在肝硬化诊断与治疗方面的意义。方法对60例疑似患者进行肝穿刺活检,并行病理检测与临床诊断结果之间比较。结果在60例疑似患者中,肝硬化占81.6%(49/60),肝脓肿及炎性改变占6.7%%(4/60),肝癌占10.0%(6/60),正常肝组织占1.7%(1/60)。临床与病理诊断符合率为81.6%。结论肝活体组织检查在肝硬化临床中占有重要位置,对选择和应用药物并对其疗效进行评估,发现早期肝癌,对患者的预后作出判断,肝穿刺活检有重要的、不可替代的作用。
Objective To investigate the significance of liver biopsy in the diagnosis and treatment of liver cirrhosis. Methods Sixty cases of suspected patients were examined by liver biopsy, and the results of pathological examination and clinical diagnosis were compared. Results Among 60 suspected patients, cirrhosis accounted for 81.6% (49/60), liver abscess and inflammatory changes accounted for 6.7% (4/60), liver cancer accounted for 10.0% (6/60), normal liver tissue accounted for 1.7 % (1/60). The coincidence rate of clinical and pathological diagnosis was 81.6%. Conclusion Liver biopsy has an important position in the clinical treatment of cirrhosis. It is an important and irreplaceable role in the selection and application of drugs and the assessment of its curative effect. It is found that the early liver cancer can judge the prognosis of the patients. Liver biopsy has an important and irreplaceable effect.