Liver pathology is the gold standard for the diagnosis of chronic hepatitis.Although there are many effective noninvasive diagnostic methods,liver pathology is still the most direct and reliable method for evaluating inflammation and fibrosis in patients with chronic hepatitis.The classification system for liver pathology has been also constantly changing,so as to provide more accurate information of grading and staging and to guide clinical and scientific research.This article reviews the development of classification systems for liver pathology,the basic criteria and disadvantages of each major classification system,and the prospects of pathological classification systems for chronic hepatitis.%肝脏病理是慢性肝炎诊断的金标准.虽然目前有众多有效的无创诊断方法,但对于获取慢性肝炎的炎症及纤维化情况,肝脏病理仍然是最为直观可靠的方法.同时肝脏病理评价分类系统也在不断发展完善,以便更加准确地提供分级分期信息,指导临床与科研.通过文献复习回顾肝脏病理评价分类系统的发展历程,解读每一个主要评价分类系统的基本标准以及不足,并结合现状展望慢性肝炎病理评价分类系统的研究前景.
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