中国寄生虫学与寄生虫病杂志 ›› 1984, Vol. 2 ›› Issue (3): 190-192.

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晚期血吸虫病肝脏病理变化及分型的探讨

范锡兰,程和健   

  1. 昆山县人民医院病理科; 昆山县血吸虫病防治站
  • 收稿日期:2017-01-12 修回日期:2017-01-12 出版日期:1984-08-31 发布日期:2017-01-12

PATHOLOGICAL CHANGES AND CLINICAL TYPES IN ADVANCED SCHISTOSOMIASIS

  • Received:2017-01-12 Revised:2017-01-12 Online:1984-08-31 Published:2017-01-12

摘要: 本文报道我院1977~1981年106例临床诊断为晚期血吸虫病手术时所取肝组织活检结果。其中67例(63.2%)确诊为单纯血吸虫病性肝硬变,39例(36.3%)为血吸虫病混合病毒性肝炎后肝硬变。后者的血吸虫卵沉积数较少而肝脏实质性损害较为明显。

关键词: 晚期血吸虫病, 肝脏病理变化, 血吸虫病性, 虫卵肉芽肿, 血吸虫卵沉积, 淋巴细胞浸润, 肝炎后肝硬变, 肝细胞坏死, 纤维组织增生, 混合性肝硬变

Abstract: This paper reports on the hepatic pathological changes in 106 clinically diagnosed advanced schistosomiasis japonica cases from 1977-1981 in our hospital. The specimens were obtained from liver biopsy during surgical operation. After pathological examination, 67 cases (63.2%) were classified as cirrhosis of simple schistosomiasis and 39 cases (36.8%) as cirrhosis of scfeistosomiasis complicated with viral hepatitis. The authors described in detail about the pathological morphology of the above two types of cirrhosis and suggested to have liver biopsy during splenectomy of the patients in order to make accurate diagnosis and give corresponding effective therapy.