Evaluation on hepatic fibrosis by joint non-invasive method
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Evaluation on hepatic fibrosis by joint non-invasive method
Journal of Chongqing Medical UniversityVol. 36, Issue 1, Pages: 77-80(2013)
作者机构:
1. 重庆医科大学附属第一医院消化内科,重庆,400016
2. 东莞市人民医院临床功能科,广东,523059
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Published:2013,
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GU Sai, HUANG Miaoxing. Evaluation on hepatic fibrosis by joint non-invasive method. [J]. Journal of Chongqing Medical University 36(1):77-80(2013)
DOI:
GU Sai, HUANG Miaoxing. Evaluation on hepatic fibrosis by joint non-invasive method. [J]. Journal of Chongqing Medical University 36(1):77-80(2013)DOI:
Evaluation on hepatic fibrosis by joint non-invasive method
目的:建立适合临床推广的联合非创伤性评估非酒精性脂肪性肝病(non-alcoholic fatty liver disease,NAFLD)肝纤维化程度的方法和评估体系。方法:104例非酒精性脂肪性肝纤维化患者行病理分期,并测定肝纤维化相关标志物、金属蛋白酶1组织抑制剂(tissue inhibitors of matrix metalloproteinase-1,TIMP-1),B超及MR扩散加权成像(diffusion weighted imaging,DWI)。结果:B超与肝脏纤维化病理分级的相关系数为0.56,呈中等程度正相关,联合DWI、肝纤维化相关标志物及TIMP-1的非创伤性评估方法有高达84.69%正判率。结论:该联合评估方法是目前可操作性和可重复性好,值得推广的肝纤维化临床诊断方法之一。
Abstract
Objective:To establish a joint non-invasive clinical method and system to assess and evaluate the severity of hepatic fibro-sis of patiants with non-alcoholic fatty liver disease(NAFLD). Methods:Totally 104 patients with non-alcoholic fatty hepatic fibrosis were divided according to different histopathological stages.Hepatic fibrosis relation indexes,tissue inhibitors of matrix metallopro-teinase-1(TIMP-1),hepatic B ultrasond and liver diffusion weighted imaging(DWI)were detected. Results:There were consider-able correlations between hepatic ultrasond and liver fibrosis grading,with a correlation coefficient of 0.56. Joint non-invasive method combing DWI,liver fibrosis markers and TIMP-1 corrected 84.69% of all trials. Conclusions:This joint non-invasive assessment method is practical and repeatable and is recommended to be a clinical method for diagnosing liver fibrosis.
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