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失偿期肝硬化诊断不难,但疗效甚差,予后欠佳。代偿期肝硬化临床上缺乏特征症状,一般肝功能也大多在正常范围,诊断常有困难。腹腔镜检查及肝穿刺活检虽能获得可靠的大体和组织学证据,但由于(1)腹腔镜检查和肝穿刺活检皆为创伤性检查,不易普遍为患者所接受;(2)肝穿刺活检对肝硬化诊断的阳性率较低,一般为40～67.3％。本文分析了我院经手术及/或活检证实而临床上无黄疸、腹水、肝昏迷征象的结节性肝硬化100例,希对代偿期肝硬化的诊断能有所裨益。
The diagnosis of cirrhosis is not difficult, but the effect is very poor, poor after. Compensatory cirrhosis clinical features lack of symptoms, most of the general liver function are also in the normal range, the diagnosis is often difficult. Laparoscopy and liver biopsy can obtain reliable general and histological evidence, but because of (1) laparoscopy and liver biopsy are traumatic examination, not generally accepted by patients; (2) liver biopsy The positive rate of cirrhosis diagnosis is low, usually 40 ~ 67.3%. This article analyzes 100 cases of nodular cirrhosis clinically without jaundice, ascites and hepatic coma confirmed by surgery and / or biopsy in our hospital. It is of great benefit to the diagnosis of compensated cirrhosis.