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肝组织学

肝组织学的相关文献在1978年到2022年内共计141篇,主要集中在内科学、药学、临床医学 等领域,其中期刊论文133篇、会议论文7篇、专利文献66857篇;相关期刊76种,包括中华实验和临床病毒学杂志、传染病信息、肝脏等; 相关会议6种,包括第三届全国病毒性肝炎慢性化重症化基础与临床研究进展学术会议、第7届全国疑难及重症肝病大会、世界中联第四届肝病国际学术大会暨海峡两岸中医肝病研讨会等;肝组织学的相关文献由475位作者贡献,包括许德军、侯金林、张建军等。

肝组织学—发文量

期刊论文>

论文:133 占比:0.20%

会议论文>

论文:7 占比:0.01%

专利文献>

论文:66857 占比:99.79%

总计:66997篇

肝组织学—发文趋势图

肝组织学

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  • 许德军
  • 侯金林
  • 张建军
  • 骆抗先
  • 徐瑞平
  • 杨伟
  • 于岩岩
  • 于桂琴
  • 余晓红
  • 刘文珍
  • 期刊论文
  • 会议论文
  • 专利文献

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    • 李振; 宁姗姗; 郭影; 王甜甜; 李莉华; 叶美红; 宋源源
    • 摘要: 目的探讨慢性乙型肝炎(CHB)患者肝X受体α(LXRα)和细胞色素P450亚型7A1(CYP7A1)基因表达水平与肝组织病理学炎症和纤维化程度的关系。方法2019年1月~2020年10月我院收治的CHB患者118例,均接受肝穿刺活检,将炎症活动度分级>G2和肝纤维化分期>S2定义为肝组织炎症或纤维化程度显著;采用免疫组织化学染色法检测肝组织LXRα和CYP7A1表达,采用RT-PCR法检测LXRαmRNA和CYP7A1 mRNA水平。结果118例CHB患者肝组织LXRα和CYP7A1蛋白和/或其mRNA阳性分别为78.0%和73.7%;38例肝组织显著炎症组LXRαmRNA和其蛋白(AOD)水平分别为(0.6±0.2)和(0.3±0.1),显著高于80例非显著炎症患者[分别为(0.4±0.1)和(0.1±0.0),P<0.05],CYP7A1 mRNA和其蛋白(AOD)水平分别为(0.8±0.2)和(0.4±0.1),显著高于非显著炎症患者[分别为(0.3±0.1)和(0.1±0.0),P<0.05];48例显著肝纤维化组肝组织LXRαmRNA和其蛋白(AOD)水平分别为(0.7±0.2)和(0.3±0.1),显著高于70例非显著肝纤维化患者[分别为(0.3±0.1)和(0.1±0.1),P<0.05],CYP7A1 mRNA和其蛋白(AOD)水平分别为(0.7±0.2)和(0.3±0.1),显著高于非显著肝纤维化患者[分别为(0.4±0.2)和(0.2±0.1),P<0.05]。结论LXRα和CYP7A1表达上调可能参与了CHB患者肝组织炎症和肝纤维化发生发展过程,其机制值得进一步研究。
    • Mindie H.Nguyen
    • 摘要: 【内容简介】本视频主要介绍了慢性乙型肝炎孕妇孕前、妊娠期以及孕后的相关治疗,大多慢性乙型肝炎病毒(hepatitis B virus,HBV)感染始于幼龄期,其中,母婴传播为主要传播途径。慢性HBV感染的育龄期女性是HBV母婴传播的重要传染源。育龄期慢性HBV携带孕妇一般相对年轻;大部分处在免疫耐受期,病毒载量高,丙氨酸氨基转移酶(alanine aminotransferase,ALT)正常,肝组织学无明显异常或轻度炎症。首先探讨影响慢性乙型肝炎妊娠用药的时间因素:育龄女性治疗方案的选择(孕前)、病毒再激活与垂直传播(孕期)和产后肝炎突发与母乳喂养(孕后);孕妇和新生儿因素:育龄女性患者针对慢性乙型活动性肝炎的抗病毒治疗、孕期肝硬化失代偿.
    • 万虎; 崔怀中; 荀运浩; 喻剑华; 吕铁锋; 过建春
    • 摘要: 目的 评价GPR指数评估ALT≤2×ULN(正常上限)慢性乙型肝炎(CHB)患者肝组织病理炎症坏死分级、纤维化分期的价值.方法 回顾性分析153例ALT≤2×ULN的CHB患者肝脏活组织病理检查和血清γ-GT、ALT、PLT检测结果,计算出GPR,应用受试者工作特征(ROC)曲线评价GPR指数对炎症坏死分级(G)、纤维化分期(S)的诊断价值.结果 炎症分级≥G2组患者比<G2组的γ-GT、ALT升高,PLT降低,差异有统计学意义(P<0.05);纤维化分期≥S2组患者比<S2组的γ-GT、ALT升高,PLT降低,差异有统计学意义(P<0.05).GPR预测S2、G2及以上肝组织学改变的ROC曲线下面积分别为0.730、0.704.结论 GPR对无创评估ALT≤2×ULN的CHB患者的活动性肝病有一定帮助.%Objective To evaluate the performance of gamma-glutamyltranspeptidase to platelet ratio (GPR) index in the assessment of liver histopathological inflammatory grade (G) and fibrosis stage (S) in chronic hepatitis B virus (HBV) infection patients with alanine aminotransferase (ALT) ≤2 × upper limits of normal (ULN).Methods 153 patients clinically diagnosed chronic HBV infection with ALT≤2 × ULN were analyzed retrospectively.Liver tissue and gamma-glutamyltranspeptidase (γ-GT), ALT, platelet (PLT) were performed and calculated the ratio of γ-GT to PLT, namely the GPR, and were assessed diagnostic value of GPR index in inflammatory grade and fibrosis stage by using receiver operating characteristic (ROC) curves.Results Inflammatory grade≥G2 group compared with the<G2 group, γ-GT and ALT increased, PLT decreased and showed significant difference.(P<0.05).The same results were in fibrosis stage≥ S2 group and the<S2 group (P<0.05).The area under the ROC curve of GPR predicting the fibrosis stage>S2 and Inflammatory grade ≥ G2 were 0.730 and 0.704 respectively.Conclusions It is helpful to noninvasive assessment by using GPR for active liver damage with ALT≤2 × ULN.
    • 冯建; 王萍; 何娇娇; 娄宇栋; 党慧; 邓蓉
    • 摘要: 为探索大豆浓缩蛋白(SPC)替代鱼粉水平对大黄鱼(Larimichthys crocea)幼鱼生长、体成分和血清生化指标以及肝组织学的影响.以初始体重为(10.50±0.04)g的大黄鱼幼鱼为研究对象,用SPC替代基础饲料(含40%鱼粉)0%(FM)、25%(R25)、50%(R50)、75%(R75)、100%(R100)的鱼粉制作成5种等氮(粗蛋白水平为45%)等脂(粗脂肪水平为10%)的实验饲料.各实验组以对照组(FM)饲料蛋氨酸、赖氨酸含量为基准,分别添加适量的晶体赖氨酸和蛋氨酸.养殖实验在浙江省象山县西沪港区进行,每个处理随机分配3个网箱(1.5 m×1.5 m×2 m),每个网箱放养60尾,养殖周期为56 d.结果表明,与对照组相比(FM),SPC替代鱼粉水平对大黄鱼幼鱼的增重率(WGR)、特定生长率(SGR)、存活率(SR)以及饲料系数(FCR)没有显著影响(P>0.05);肌肉粗蛋白和全鱼粗蛋白无显著差异(P>0.05),肌肉粗脂肪和全鱼粗脂肪含量随替代比例的增加有下降的趋势,均以R100组含量最低,肌肉水分含量和全鱼水分有上升的趋势;血清各项指标没有显著性差异,但血清总蛋白(TP)、白蛋白(ALB)含量有下降趋势,以R100组含量最低;血清胆固醇(CHOL)、甘油三酯(TG)的含量呈现出先升高后下降的趋势.从肝组织学观察中发现,SPC替代水平超过75%会对肝细胞产生损伤,引起肝细胞空泡化,脂肪堆积加重,肝细胞核逐渐溶解或缺失.综上所述,在本研究条件下,SPC替代饲料75%的鱼粉,不会对大黄鱼幼鱼的生长造成负面影响.%A 56-d feeding experiment was conducted to investigate the effects of replacing fish meal in the diet with soy protein concentrate (SPC) on growth, body composition, serum biochemical indices, and liver histology of juvenile large yellow croaker,Larimichthys crocea(initial weight 10.50 g±0.04 g). The basal diet contained 40% fish meal, and five isonitrogenous (crude protein 45%) and isolipidic (crude lipid 10%) diets were formulated by replacing 0%, 25%, 50%,75%, and 100% of the fish meal with SPC and were designated the FM, R25, R50, R75, and R100 groups, respectively. All diets were supplemented with the appropriate amounts of crystalline ly-sine and methionine, based on lysine and methionine contents in the control group. Each diet was assigned ran-domly to triplicate groups of 60 ind/cage. All larvae were stocked into experimental cages (1.5 m×1.5 m×2 m) at Xihugang, Xiangshan County, Ningbo city, Zhejiang Province, China. As results, none of the experimental diets had a significant effect on the weight gain rate, specific growth rate, survival rate, or feed conversion ratio com-pared with those of fish fed the FM diet (P>0.05). Whole-body, muscle, and crude lipid contents decreased as the SPC replacement level was increased, and fish fed the R100 diet had the lowest contents. However, whole-body and muscle moisture contents increased as the SPC replacement level was increased. No differences in any of the serum biochemical indices were observed among the groups (P>0.05); briefly, serum total protein and albumin contents decreased, and fish fed the R100 diet had the lowest contents. Cholesterol and triglycerides tended to increase initially, and then decreased. Liver histology revealed serious damage to hepatocytes when SPC reached 75% (R75), as large cytoplasmic vacuole-like spaces were present, indicating excess fat accumulation, and nuclei had dissolved gradually or were absent in many of these cells. These results suggest that protein from SPC can substitute for up to 75% of the fish meal protein in the diet without affecting growth ofL. crocea.
    • 欧蔚妮; 赵莹莹; 张娜; 王笑梅; 杨松; 成军; 邢卉春; 程丹颖; 段英; 刘庄
    • 摘要: 目的:探讨肝组织学、丙氨酸氨基转移酶(ALT)等因素与慢性乙型肝炎抗病毒疗效的相关性。方法回顾性分析首都医科大学附属北京地坛医院2005至2010年住院行肝组织活检后抗病毒治疗的慢性HBV感染者共81例,采集患者抗病毒治疗基线人口学、生化学、病毒学及肝组织学结果并收集患者抗病毒治疗随访过程中病毒学指标动态下降情况,分析此类患者抗病毒治疗应答相关因素。结果共纳入患者81例,其中男性60例;平均年龄36.5岁。肝组织学活检提示,肝脏炎症和纤维化≥G2S2者54例(66.7%);肝脏炎症和纤维化< G2S2者27例(33.3%);治疗24周病毒学应答患者63例(77.8%)。肝组织学炎症或纤维化等级、ALT水平及患者平均年龄在抗病毒治疗应答组与无应答组差异均具有统计学意义(P均<0.05)。抗病毒药物类型[干扰素/核苷(酸)类似物]与患者病毒学应答无显著相关。结论 ALT持续正常或轻度异常(<2× ULN)的慢性乙型肝炎患者抗病毒疗效与患者肝组织学炎症/纤维化程度及ALT水平显著相关,建议此类患者行肝组织活检以评价抗病毒指征及预测抗病毒疗效。%Objective To investigate the relationship among liver histology features, alanine aminotransferase (ALT) level or other factors with the effect of antiviral treatment for patients with chronic hepatitis B (CHB).Methods Total of 81 cases with CHB who accepted liver biopsy in Beijing Ditan Hospital, Capital Medical University from 2005 to 2010 were analyzed, respectively. The baseline demographic for antiviral therapy, results of biochemistry, viral and liver histology were collected, meanwhile with the dynamic decline of indicators of viral during the follow-up process and the possible related factors of antiviral response were also analyzed.Results Among the 81 patients, there were 60 males, with the mean age of 36.5 years old. Liver inlfammation and ifbrosis of these patients were detected. There were 54 cases (66.7%) with liver inlfammation and ifbrosis≥G2S2, and 27 cases (33.3%) were< G2S2. There were 63 cases (77.8%) with 24 weeks of treatment achieved viral response. There were signiifcant differences on the degree of liver inlfammation, ifbrosis ALT levels and average ages between the CHB patients who received antiviral treatment and had better virological response and with poor virological response (P all < 0.05). While there were no significant differences between the types of antiviral treatment [interferon (IFN)vs nucleoside (acid) analogue] of the patients with CHB virological response.Conclusions Antiviral treatment effect of CHB patients with persistently normal or mildly abnormal ALT level (< 2 × ULN) were signiifcantly correlated with the levels of ALT in patients with liver ifbrosis and the degree of liver inlfammation and ifbrosis, so the patients with persistently normal or mildly abnormal ALT level (< 2 × ULN) were advised to accept liver biopsy to evaluate antiviral condictions and effects.
    • 刘腾飞; 李琼洁; 邓春青; 张缭云
    • 摘要: 目的:研究肝功能正常慢性 HBV 感染者的性别、年龄、HBeAg 状态、HBV DNA 量、脾脏厚度、胆囊壁厚度及门静脉内径等指标与肝组织学炎症程度的相关性。方法回顾性分析41例行肝组织学检查而肝功能正常的慢性 HBV感染者相关病例资料,采用 Logistic 回归分析上述指标与肝脏炎症程度的相关性。结果41例慢性 HBV 感染者多数存在不同程度的炎症病理损伤,炎症分级≥G2者共18例(43.9%),年龄和胆囊壁厚度为肝组织炎症分级的独立危险因素(OR 值分别为5.469、4.506,P 值分别为0.003、0.014)。结论有接近半数肝功能正常慢性 HBV 感染者肝脏炎症分级≥G2;年龄、胆囊壁厚度为评估肝功能正常慢性 HBV 感染者肝组织炎症程度相关的临床指标,此二者作为临床指标随访该类患者可能有一定意义。
    • 牛亚辉
    • 摘要: 目的:研究慢性乙型肝炎(CHB)患者血清乙肝病毒标志物和丙氨酸转氨酶(ALT)与肝组织学之间的关系。方法:对180例慢性乙型肝炎患者血清病毒标志物及肝功能进行检测,同时对所有患者行 B 超引导下经皮肝穿刺,把患者按 HBV-DNA 和 HBeAg 是否阳性分为四组比较各组肝组织炎症和纤维化程度。结果:患者均显示出肝脏不同程度炎症及纤维化,对血清 ALT 正常的患者行肝脏活检,依然有一部分患者肝内存在不同程度炎症及纤维化,而 HBeAg 阴性、ALT 异常的患者炎症和纤维化程度更加严重。血清内病毒复制活跃的程度跟肝脏病理组织损害的程度并不成正比。结论:凭血清乙肝病毒复制活跃、血清 ALT 增高判断活动性肝炎不够全面,而肝组织病理是判断是否抗病毒以及肝炎是否处于活动期的主要依据。
    • 王鑫
    • 摘要: 肝病已经成为当前威胁人类健康的主要疾病之一。我国是肝癌高发国,发病率、病死率在逐年攀升,占癌症死亡率第三位,而且肝癌发病日趋年轻化,应引起人们的高度重视。1.2亿的乙肝患者、3000万的慢性肝炎人群、超过1.2亿人的脂肪肝"大军"让人触目惊心。大家行动起来吧!和本刊一起为我们的肝脏"保驾护航"。
    • 韩红梅; 金永日
    • 摘要: 【据《J Hepatol》2016年9月报道】题:肌肉减少症是非酒精性脂肪性肝炎以及显著纤维化的独立危险因素(作者Koo BK等)非酒精性脂肪性肝炎(NASH)是非酒精性脂肪性肝病(NAFLD)的重要阶段,可发展为肝硬化,甚至肝细胞癌。为了探讨肌肉减少症是否与NASH的肝组织学严重程度相关,
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