评慢性肝炎的新旧诊断标准

An Evaluation to the Diagnostic Standards ofChronic Hepatitis

１９９４年，世界肝病学术会和世界消化病学术会推荐了一个新的“慢性肝炎的诊断、分级和分期”方案。本文从慢性肝炎的定义、分类以及临床实用性出发，比较和分析了新旧两种诊断方案的优势和不足。指出，慢性肝炎的诊断应包括三方面：病因学诊断、组织学诊断和临床诊断，并提出相应的临床分级、分期积分方案。

AbstractThe new plan about diagnosis,grading and stagingof chronic hepatitis was supported by the world Con-gresses of Hepatology and the world Congresses of Gas-troenterology last year.According to the definition,clas-sification and clinic application of chronic hepatitis theplan has following shortages.It is pointed out that diag-nosis of chronic hepatitis must be composed of the etio-logic diagnosis,histodiagnosis as well as clinic diagno-sis,therefore,a plan of clinic grading and staging onchronic hepatitis is raised.