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摘要: 肝组织病理学在肝脏疾病分级分期和不明原因肝病病因探寻方面起着至关重要的作用。作为临床医生,要充分了解肝组织活检的适应证和禁忌证、肝脏疾病的病理特征、肝组织病理学的地位和作用、临床病理沟通重要性等内容。本文对上述内容作一概述,以帮助临床医生更好的应用肝组织病理学这一有创诊断方法。Abstract: Liver histopathology plays an important role in the grading and staging of liver diseases and the etiological evaluation of unexplained liver diseases. Clinicians should fully understand the indications and contraindications for liver biopsy, the pathological features of liver diseases, the position and role of liver histopathology, and the importance of clinicopathological communication. This article reviews the above issues to help clinicians better apply liver histopathology as an invasive diagnostic method.
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[1] LIU HL, YANG YF, XIONG QF, et al. Etiological analysis of hepatopathy of unknown etiology in 470 cases undergoing routine liver biopsy examination[J]. Chin J Hepatol, 2019, 27(11): 885-889. DOI: 10.3760/cma.j.issn.1007-3418.2019.11.012.刘红丽, 杨永峰, 熊清芳, 等. 470例行肝穿刺活组织检查的不明原因肝病的病因分析[J]. 中华肝脏病杂志, 2019, 27(11): 885-889. DOI: 10.3760/cma.j.issn.1007-3418.2019.11.012. [2] NEUBERGER J, PATEL J, CALDWELL H, et al. Guidelines on the use of liver biopsy in clinical practice from the British Society of Gastroenterology, the Royal College of Radiologists and the Royal College of Pathology[J]. Gut, 2020, 69(8): 1382-1403. DOI: 10.1136/gutjnl-2020-321299. [3] YANG YF. Improve the knowledge of liver pathology and related skills among clinicians engaged in hepatology[J]. J Clin Hepatol, 2018, 34(11): 2267-2270. DOI: 10.3969/j.issn.1001-5256.2018.11.001.杨永峰. 提高肝病学科临床医师的病理修养[J]. 临床肝胆病杂志, 2018, 34(11): 2267-2270. DOI: 10.3969/j.issn.1001-5256.2018.11.001.
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