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病毒性肝炎纤维化病理学与血清学的相关性

姚春斓 周元平 顾琳 卢建溪 杨绍基

中山医科大学学报2001,Vol.22Issue(1):35-37,3.
中山医科大学学报2001,Vol.22Issue(1):35-37,3.

病毒性肝炎纤维化病理学与血清学的相关性

Correlation of Pathology and Serology of Fibrosis in Patients with Viral Hepatitis

姚春斓 1周元平 1顾琳 1卢建溪 1杨绍基1

作者信息

  • 1. 中山医科大学附属第三医院传染病科,
  • 折叠

摘要

Abstract

【Objective】 To study the relationship of pathologic changes and serologic markers of fibrosis in patients with viral hepatitis. 【Me thods】 Liver s pecimens were obtained by percutaneous needle biopsy under color Doppler ultras ound guidance in 299 patients with viral hepatitis. The specimens were stained b y hematoxylin and eosin (HE), Gordon and Sweet's reticulum methods (RT), in orde r to determine the degree and the stage of pathologic changes with microscopy. H yaluronic acid(HA), collagen type Ⅳ(Ⅳ-C) and human precollagen type Ⅲ(HPCⅢ )as serum fibrous markers were detected by radioimmunoassay. 【Results】 The se rum levels serologic markers were slightly increased in 97 patients with mild ch ronic hepatitis, moderately increased in 126 patients with moderate chronic hepa titis, and significantly increased in 29 severe cases and 47 subjects with cirrh osis. Both the grade of inflammatory activity and the stage of fibrosis were clo sely related to the levels of serum fibrous markers. 【Conclusion】 Chronic vira l hepatitis pathologic feature and levels of serum markers of fibrosis change al ong with clinical process of patients. The combination of liver biopsy and detec tion of serum markers of fibrosis might be highly valuable for the diagnosis.

关键词

肝炎,病毒性,人/病理学/肝炎,病毒性,人/免疫学/肝硬化/病理学/肝硬化/免疫学

分类

医药卫生

引用本文复制引用

姚春斓,周元平,顾琳,卢建溪,杨绍基..病毒性肝炎纤维化病理学与血清学的相关性[J].中山医科大学学报,2001,22(1):35-37,3.

中山医科大学学报

OA北大核心CSCD

1672-3554

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