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胆汁淤积性肝病的病理学诊断OA北大核心CSTPCD

Pathological diagnosis of cholestatic liver disease

中文摘要英文摘要

胆汁淤积性肝病(CLD)是指各种病因引起的胆汁代谢异常、流出受阻、胆管损伤等肝脏疾病,主要病因包括:药物、毒物、免疫、遗传、梗阻、感染、肿瘤等.胆汁淤积是CLD共有的病理改变,而不同病因淤胆的部位、组织病理及超微结构等改变,具有相对特异性.依据病因,重点阐述自身免疫性胆管炎、遗传代谢性肝病、大胆管病变的病理学特征,引申鉴别其他CLD,以期提高对CLD病理学的认识,助力精准诊疗.

Cholestatic liver disease(CLD)is a group of liver diseases caused by various reasons,such as abnormal bile metabolism,blocked outflow,and bile duct injury,and the major causes of CLD include drugs,poisons,immunity,genetics,obstruction,infection,and tumor.Cholestasis is a common pathological change in CLD;however,the site,histopathology,and ultrastructure of cholestasis due to different etiologies are relatively specific.According to the etiology,this article elaborates on the pathological characteristics of CLD such as autoimmune cholangitis,inherited metabolic liver disease,and large bile duct disease and introduces the differential diagnosis of other types of CLD,in order to improve the understanding of CLD pathology and facilitate accurate diagnosis and treatment.

张继平

广州金域医学检验中心病理部,广州 510000

胆汁淤积活组织检查病理学诊断

CholestasiBiopsyPathologyDiagnosis

《临床肝胆病杂志》 2024 (006)

1093-1099 / 7

10.12449/JCH240605

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