无创肝纤维化诊断研究现状与前景

Current status and prospects of research on noninvasive diagnosis of liver fibrosis

肝纤维化是许多慢性肝病进展为肝硬化、肝癌的共同病理过程,肝穿刺活组织检查作为准确度最高的确诊手段因各种弊端而不能成为常规检查方法。介绍了临床上较为实用的血清学与影像学方法,并分析了其各自的优缺点及研究现状。认为经过专家学者们的不断探索,无创诊断方法的地位日益凸显,在不久的将来有望取代肝活组织检查,成为确诊肝纤维化的有效手段。

Liver fibrosis is a common pathological process in the progression of various chronic liver diseases to liver cirrhosis and liver cancer,and liver biopsy with the highest accuracy in diagnosis cannot be used as a routine examination due to several drawbacks. This article introduces several serological and imaging methods used in clinical practice and analyzes their advantages/disadvantages and the current status of research. It is believed that thanks to the efforts of experts and scholars,noninvasive diagnostic methods have become more and more important and may replace liver biopsy and become an effective method for the diagnosis of liver fibrosis in the near future.