213例慢性肝炎临床病理分类探讨

CLINICALAND PATHOLOGICAL CLASIFICATION OF 213 CASES OF CHRONIC HEPATITIS

目的探讨慢性肝炎新分类法的优点及其与临床的关系。方法应用Ｓｃｈｅｕｅｒ分类法和传统分类法观察２１３倒慢性肝炎共２６０例次肝穿病理切片。结果Ｓｃｈｅｕｅｒ分类法在反映病变程度、动态观察病情等方面优于传统分类法，病理分级与患者ＳＢ、ＡＬＴ有关；分期与蛋白代谢、慢性肝病体征等有关；分期与蛋白代谢、慢性肝病体征等有关。结论Ｓｃｈｅｕｅｒ分类对慢性肝炎病变的评价较为客观、全面。

Objective,To assess a new classification of chronic hepatitis and compare it with con-ventional method; Methods,The slides of 260 liver biopsies from 213 patients with chronic hepatitis were reviewed by using scheuer's and conventional clasification.Results,Scheuer's classification is bet-ter than conventional method in reflecting the severity and dynamical changes of pathological changes.The pathological grade is related to SB、ALT of patients.The stage is related to protein motabolism andthe sings of chronic hepatosis.Conclusions,We can assess the liver lesions in patients with chronic hep-atitis objectively and systematically.