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瞬时弹性成像技术用于诊断肝纤维化。

Transient elastography for the diagnosis of liver fibrosis.

机构信息

Centre d'Investigation de la Fibrose hépatique, Hôpital Haut-Lévêque, 33604 Pessac Cedex, France.

出版信息

Expert Rev Med Devices. 2010 Nov;7(6):811-23. doi: 10.1586/erd.10.46.

DOI:10.1586/erd.10.46
PMID:21050091
Abstract

Transient elastography (FibroScan(®)) is a noninvasive method proposed for the assessment of liver fibrosis in patients with chronic liver diseases by measuring liver stiffness. It can be easily performed at the bedside or in the outpatient clinic with immediate results and good reproducibility. FibroScan is validated for the diagnosis of significant fibrosis and cirrhosis in chronic hepatitis C, in recurrence of hepatitis C after liver transplantation, in co-infected HIV-HCV patients, in chronic hepatitis B, in chronic cholestatic diseases, in alcoholic disease and in nonalcoholic fatty liver disease. FibroScan is an excellent tool for the early detection of cirrhosis and for the evaluation of portal hypertension, and may have prognostic value in this setting. FibroScan evaluates liver stiffness, which is related to fibrosis, but also inflammation and portal hypertension. Therefore, FibroScan values have to be interpreted according to clinical, biological and morphological data.

摘要

瞬时弹性成像(FibroScan(®))是一种非侵入性方法,通过测量肝脏硬度来评估慢性肝病患者的肝纤维化。它可以在床边或门诊轻松进行,结果即刻得出,且重复性良好。FibroScan 已在慢性丙型肝炎的显著纤维化和肝硬化诊断、肝移植后丙型肝炎复发、HIV-HCV 合并感染患者、慢性乙型肝炎、慢性胆汁淤积性疾病、酒精性疾病和非酒精性脂肪性肝病中得到验证。FibroScan 是早期发现肝硬化和评估门静脉高压的优秀工具,在这种情况下可能具有预后价值。FibroScan 评估肝脏硬度,其与纤维化有关,但也与炎症和门静脉高压有关。因此,必须根据临床、生物学和形态学数据来解释 FibroScan 值。

相似文献

1
Transient elastography for the diagnosis of liver fibrosis.瞬时弹性成像技术用于诊断肝纤维化。
Expert Rev Med Devices. 2010 Nov;7(6):811-23. doi: 10.1586/erd.10.46.
2
Transient elastography (FibroScan).瞬时弹性成像(FibroScan)。
Gastroenterol Clin Biol. 2008 Sep;32(6 Suppl 1):58-67. doi: 10.1016/S0399-8320(08)73994-0.
3
Ultrasound Shear Wave Elastography for Liver Disease. A Critical Appraisal of the Many Actors on the Stage.用于肝脏疾病的超声剪切波弹性成像:对该领域众多参与者的批判性评估
Ultraschall Med. 2016 Feb;37(1):1-5. doi: 10.1055/s-0035-1567037. Epub 2016 Feb 12.
4
Liver fibrosis assessment using transient elastography guided with real-time B-mode ultrasound imaging: a feasibility study.实时超声成像引导瞬时弹性成像技术评估肝纤维化:一项可行性研究。
Ultrasound Med Biol. 2013 Jun;39(6):956-66. doi: 10.1016/j.ultrasmedbio.2013.01.009. Epub 2013 Apr 3.
5
Non-invasive evaluation of liver fibrosis using transient elastography.使用瞬时弹性成像技术对肝纤维化进行无创评估。
J Hepatol. 2008 May;48(5):835-47. doi: 10.1016/j.jhep.2008.02.008. Epub 2008 Feb 26.
6
[Transient elastography (FibroScan): a new tool in hepatology].
Presse Med. 2009 Oct;38(10):1516-25. doi: 10.1016/j.lpm.2008.08.018. Epub 2009 Feb 4.
7
What did we learn from the first 3,459 cases of liver stiffness measurement by transient elastography (FibroScan®)?我们从 3459 例通过瞬时弹性成像技术(FibroScan®)进行的肝脏硬度测量中得到了什么?
Ultraschall Med. 2011 Feb;32(1):40-5. doi: 10.1055/s-0029-1245525. Epub 2010 Jul 5.
8
Liver fibrosis: noninvasive assessment with acoustic radiation force impulse elastography--comparison with FibroScan M and XL probes and FibroTest in patients with chronic liver disease.肝纤维化:声辐射力脉冲弹性成像的无创评估——与 FibroScan M 和 XL 探头及 FibroTest 在慢性肝病患者中的比较。
Radiology. 2013 Oct;269(1):283-92. doi: 10.1148/radiol.13122208. Epub 2013 Apr 29.
9
Hepatic elastography for the assessment of liver fibrosis--present and future.肝脏弹性成像在肝纤维化评估中的应用——现状与展望。
Ultraschall Med. 2012 Dec;33(6):550-8. doi: 10.1055/s-0032-1313011. Epub 2012 Jul 25.
10
[Validation of transient elastography (Fibroscan) in assessment of hepatic fibrosis in autoimmune hepatitis].[瞬时弹性成像(Fibroscan)在自身免疫性肝炎肝纤维化评估中的验证]
Zhonghua Gan Zang Bing Za Zhi. 2011 Oct;19(10):782-4. doi: 10.3760/cma.j.issn.1007-3418.2011.10.015.

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