Tarantino Giovanni
World J Gastroenterol. 2007 Oct 7;13(37):4917-23. doi: 10.3748/wjg.v13.i37.4917.
There is a general consensus in re-interpreting the so-called liver function tests in the light of novel discoveries. At the same time, recent evidence favours the use of different laboratory data to assess liver damage, fibrosis or regenerative process, but this point is not always shared. Actually, balancing the need for diagnosis, prognostic evaluation and therapy response of liver disease with a good cost/benefit ratio is very difficult. New tests are probably not needed but the aim should be for better utilization of existing tests to contain the increasing cost of health care.
根据新的发现重新解读所谓的肝功能测试已达成普遍共识。与此同时，近期证据支持使用不同的实验室数据来评估肝损伤、纤维化或再生过程，但这一点并非总能得到认同。实际上，要在肝病的诊断、预后评估和治疗反应需求与良好的成本效益比之间取得平衡非常困难。可能并不需要新的检测方法，而目标应该是更好地利用现有检测方法，以控制不断增加的医疗保健成本。
