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肝硬化可逆吗?

Is cirrhosis of the liver reversible?

作者信息

Kumar Manoj, Sarin S K

机构信息

Department of Gastroenterology, G.B.Pant Hospital, New Delhi, India.

出版信息

Indian J Pediatr. 2007 Apr;74(4):393-9. doi: 10.1007/s12098-007-0067-1.

Abstract

Extensive and persistent hepatic fibrosis has for a long time been considered irreversible. Accumulating evidence suggests that liver fibrosis is reversible and that recovery from cirrhosis may be possible. The application of molecular techniques to models of reversible fibrosis are helping to establish the events and processes that are critical to recovery. The problem consists in identifying and eliminating its cause. Although fibrosis in the liver has little functional significance by itself, its severity derives from associated vascular changes. Disappearance of fibrosis can be accompanied by remodeling of vascular changes. However, depending on its duration, the fibrosis may be irreversible.

摘要

长期以来,广泛而持续的肝纤维化一直被认为是不可逆的。越来越多的证据表明,肝纤维化是可逆的,而且从肝硬化中恢复是有可能的。将分子技术应用于可逆性纤维化模型,有助于确定对恢复至关重要的事件和过程。问题在于识别并消除其病因。虽然肝脏中的纤维化本身功能意义不大,但其严重程度源于相关的血管变化。纤维化的消失可能伴随着血管变化的重塑。然而,根据其持续时间,纤维化可能是不可逆的。

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