摘要
总结60例胆石症并感染的肝脏活检结果。胆囊结石(A)组28例、胆管结石(B)组32例。结果:肝组织炎症,A组占39.3％、B组为100％;淤胆,A组14.3％、B组71.8％;肝细胞变性,A组14.3％、B 组50.0％;肝细胞坏死,A组14.3％、B组65.6％。两组比较差异均有非常显著性意义(P均<0.01)。说明胆管结石致胆汁排泄不畅,常继发感染;并向肝内蔓延导致肝损害。胆囊结石并发感染时亦可由胆囊床经血循扩展到肝内。故建议胆系手术时常规进行肝活检。
Liver biopsies were performed in 60 cases of cholelithiasis complicated by biliary infection. Pathologic changes of the liver in 28 cases of cholecystolithiasis (group A) and 32 cases of cholangiolithiasis (group B) were analysed. It was found that the liver damage caused by inflammation, cholestasis, degeneration, necrosis and regeneration is more significant in group B than in group A. There are significant differences in incidence between the 2 groups.
出处
《同济医科大学学报》
CSCD
北大核心
1993年第2期131-132,共2页
Acta Universitatis Medicinae Tongji
关键词
胆系感染
胆石症
肝脏损害
biliary infection
cholelithiasis
liver damage
