非活动性HBsAg携带者135例肝组织病理学分析

Liver histopathology analysis of 135 cases of inactive HBsAg carriers

目的:分析135例非活动性HBsAg携带者的肝脏病理学和免疫学检测结果。方法:收治非活动性HBsAg携带者135例,回顾性分析其临床资料。结果:135例患者中已达G2或G2以上(G指炎症程度)患者83例(61.48%),已达S2或S2以上(S指肝脏纤维化程度)患者62例(45.93%)。结论:对肝功能正常的"非活动性HBsAg携带者"应尽可能行肝穿刺病理学检查,以肝组织病理学检查这一"金标准"作为判断病情、指导诊疗的重要指标。若发现病变,则及时进行诊疗干预。

Objective：To analyze the liver pathology and immunological test results of 135 cases of inactive HBsAg carriers.Methods：135 cases of inactive HBsAg carriers were selected and the clinical data were reviewed.Results：Of the 135 patients,83 cases（61.48%） had reached G2 or more than G2（G refers to the degree of inflammation）,62 cases（45.93%） had reached S2 or more than S2（S refers to the degree of liver fibrosis）.Conclusion：The inactive HBsAg carrier of normal liver function should be examined by pathological examination of liver puncture as far as possible.This ＂gold standard＂ of histopathological examination of liver was used as an important indicator to judge the condition of the disease and to guide the diagnosis and treatment of the disease.If the lesions were found,the diagnosis and treatment intervention was carried out in time.