肝穿活检260例病理结果分析

A Pathological Analysis on 260 Cases of Liver Biopsy

目的探讨肝穿活检病理组织学特点,为临床诊断提供准确的诊断依据。方法对我院肝病中心送检的260例肝穿活检病理切片,进行回顾分析。结果260例肝穿活检组织病例中,急性(病毒性)肝炎20例;慢性肝炎78例;肝硬化39例;原发性肝细胞癌28例;肝细胞核异质27例;肝转移性腺癌20例;脂肪肝12例;乙醇肝5例;肝囊肿3例;先天性胆管闭锁2例;穿刺组织结构模糊6例;未穿到或仅穿到少量肝细胞20例。结论肝穿活检在肝脏疾病诊断中,有着其他诊断方法不可替代的重要作用。

Objective To enter into the pathological and histological character of liver biopsy in order to provide a foundation on pathological changes of sufferer;s liver for clinical diagnosis. Methods A total of 260 pathological slices of liver biopsy were reviewed and their pathological and histological character was carefully analyzed. Results In the 260 slices of liver biopsy, there were 20 ones of acute viral hepatitis, 78 ones of chronic hepatitis, 79 ones of hepatocirrhosis, 28 ones of primary liver cell cancer, 27 ones of liver karyon heterogeneity, 20 ones of liver metastatic adenocarcinoma, 12 ones of fatty liver, five ones of alcohol liver, three ones of liver cyst, two ones of congenital bile duct atresia, six ones of illegible structure, 20 ones without liver cell or with few scattered liver cell. Conclusion Liver biopsy plays an important role in the diagnosis of clinical liver disease.