Non-invasive diagnosis and monitoring of liver fibrosis and cirrhosis

被引：40
作者：
Denzer, Ulrike W. [1 ]
Lueth, Stefan [1 ]
机构：
[1] Univ Med Ctr Hamburg Eppendorf, Dept Med, D-24046 Hamburg, Germany
来源：
BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY | 2009年 / 23卷 / 03期
关键词：
Liver fibrosis; cirrhosis; biochemical marker; transient elastography; fibroscan; CHRONIC HEPATITIS-C; TRANSIENT ELASTOGRAPHY; BIOCHEMICAL MARKERS; HYALURONIC-ACID; SERUM MARKERS; DISEASE; STIFFNESS; PREDICTION; COMPLICATIONS; PERFORMANCE;
D O I：
10.1016/j.bpg.2009.03.002
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
The accurate staging of liver fibrosis in chronic liver diseases, especially the early diagnosis of liver cirrhosis, is crucial for prognostic assessment of the course of the disease. The histological evaluation of a liver biopsy cylinder is still the gold standard in assessing the stage of liver fibrosis. However, liver biopsy is an invasive procedure and carries the risk of complications. This has to be balanced against the information benefit of liver histology. To overcome this, non-invasive tests were developed assessing liver fibrosis based on combinations of laboratory markers or techniques measuring liver elasticity. In this review the current impact of the non invasive methods is discussed and weighted against liver biopsy. (C) 2009 Elsevier Ltd. All rights reserved.
引用
收藏
页码：453 / 460
页数：8
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