Zhou Hong, Hu Han, Tian Maoyong, Chu Jun, Tian Caiyun, Yang Yanqing, Lin Shide
Department of Infectious Diseases, Affiliated Hospital of Zunyi Medical University, 201 Dalian Street, Guizhou 563003, China.
Department of Infectious Diseases, Suining Central Hospital, 127 Desheng Street, Suining, Sichuan 629000, China.
Gastroenterol Res Pract. 2020 Nov 27;2020:4217512. doi: 10.1155/2020/4217512. eCollection 2020.
In the past decade, numerous studies have evaluated the roles of noninvasive methods for diagnosing or excluding varices and high-risk varices in patients with liver cirrhosis. The Baveno VI criteria recommend the use of a simple algorithm based on a liver stiffness measurement < 20 kPa through transient elastography and a platelet count > 150 × 10/L for ruling out high-risk varices in patients with compensated advanced chronic liver disease. A large number of studies have validated the clinical usefulness of Baveno VI criteria for excluding high-risk varices. Several strategies have been proposed to refine the Baveno VI criteria; however, currently there is no review to summarize the diagnostic accuracy and limitations of the Baveno VI criteria after extensive validation. In this review, we summarize the diagnostic accuracy and limitations of the Baveno VI criteria after extensive validation. We also discuss methods to refine these criteria.
在过去十年中，众多研究评估了非侵入性方法在诊断或排除肝硬化患者静脉曲张及高危静脉曲张方面的作用。《巴韦诺VI标准》推荐使用一种简单算法，即通过瞬时弹性成像法测得肝脏硬度值<20 kPa且血小板计数>150×10⁹/L，以排除代偿期晚期慢性肝病患者的高危静脉曲张。大量研究证实了《巴韦诺VI标准》在排除高危静脉曲张方面的临床实用性。已提出多种策略来完善《巴韦诺VI标准》；然而，目前尚无综述总结经过广泛验证后的《巴韦诺VI标准》的诊断准确性及局限性。在本综述中，我们总结了经过广泛验证后的《巴韦诺VI标准》的诊断准确性及局限性。我们还讨论了完善这些标准的方法。
