Wang J H, Yu C H
Department of Gastroenterology, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China.
Zhonghua Gan Zang Bing Za Zhi. 2017 Feb 20;25(2):115-118. doi: 10.3760/cma.j.issn.1007-3418.2017.02.007.
Non-alcoholic fatty liver disease (NAFLD) is one of the most common chronic liver diseases in clinical practice, and the spectrum of NAFLD includes nonalcoholic simple fatty liver, nonalcoholic steatohepatitis, and liver cirrhosis. Some patients may even progress to hepatocellular carcinoma. At present, the gold standard for the diagnosis of NAFLD is liver biopsy, but since this is an invasive examination and has high costs, its application is limited in clinical practice. More and more studies have focused on noninvasive diagnostic methods for NAFLD, including serological markers, fatty liver predictive model, and imaging examinations. Emerging diagnostic techniques, including genomics, proteomics, glycomics, and metabolomics, also play an important role in the diagnosis of NAFLD.
非酒精性脂肪性肝病(NAFLD)是临床实践中最常见的慢性肝病之一,NAFLD的范围包括非酒精性单纯性脂肪肝、非酒精性脂肪性肝炎和肝硬化。一些患者甚至可能进展为肝细胞癌。目前,NAFLD诊断的金标准是肝活检,但由于这是一种侵入性检查且成本高昂,其在临床实践中的应用受到限制。越来越多的研究聚焦于NAFLD的非侵入性诊断方法,包括血清学标志物、脂肪肝预测模型和影像学检查。新兴的诊断技术,包括基因组学、蛋白质组学、糖组学和代谢组学,在NAFLD的诊断中也发挥着重要作用。