82例慢性肝病患者经皮肝穿刺病理诊断与中医辨证分型的相关性研究

Correlation between pathological diagnosis of percutaneous transposition of liver and dialectical classification of traditional Chinese medicine in 82 patients with chronic liver disease

目的:探讨慢性肝功能异常、慢性乙型病毒性肝炎及慢性丙型病毒性肝炎等慢性肝病患者中医临床诊断证型与肝脏病理诊断的相关性。方法:选取2017年7月-2020年8月遵义市第四人民医院住院和门诊82例慢性肝病患者行中医辨证分型、临床诊断及经皮肝穿刺病理检查。结果:肝脏病理改变随按中医辨证分型肝郁气滞、湿热内蕴、肝郁脾虚、瘀血阻络顺序逐渐加重。结论:慢性肝病的不同中医辨证分型与肝脏病理学改变具有相关性,为中医临床辨证施治提供科学客观的依据。

Objective: To investigate the correlation between chronic viral hepatitis B, chronic Viral hepatitis B and chronic Viral hepatitis C with liver pathological diagnosis. Methods: 82 cases of liver disease in our department from July 2017 to August 2020 were selected for dialectical typing, clinical diagnosis and percutaneous transhepatic pathological examination. Results: The pathological changes of liver and dialectical classification of traditional Chinese medicine(TCM) liver stagnation and qi stagnation, damp-heat accumulation,liver depression and spleen deficiency, blood stasis and collaterals gradually increased. Conclusion: There is a correlation between different TCM dialectical classification of liver diseases and pathological changes of liver, which provides scientific and objective basis for TCM clinical dialectical treatment.