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通过肝穿组织学诊断证实的215例慢性乙型病毒性肝炎临床资料分析,推荐两种临床诊断方法。一为根据各例临床表现及实验室检查的异常程度、异常项数进行分型诊断;一为采用计量诊断中的给分法。慢性活动性肝炎临床诊断符合率前者87.0％,后者94.8％,均显著高于目前沿用的临床诊断方法。本文两种方法使用简便,并有助于估计组织学改变的严重程度,以及确定是否需进行肝活检进一步明确临床诊断。
Through clinical data analysis of 215 cases of chronic hepatitis B confirmed by histopathological diagnosis of liver, two clinical diagnostic methods are recommended. One for each case based on clinical manifestations and laboratory abnormalities, the number of anomalies to diagnose the type of diagnosis; one for the use of measurement diagnosis in the dichotomy. Chronic active hepatitis clinical diagnosis coincidence rate of the former 87.0%, the latter 94.8%, were significantly higher than the current clinical diagnosis. Both of these methods are easy to use and help to assess the severity of histological changes and to determine if a liver biopsy is needed to further clarify the clinical diagnosis.