瞬时弹性成像技术诊断肝纤维化专家意见1.pdf

420- Öлª¸ÎÔಡÔÓÖ¾2013Äê6ÔµÚ2l¾íµÚ6ÆÚChin JHepatol£¬June 2013£¬V01£®21£¬No£®6 ˲ʱµ¯ÐÔ³ÉÏñ¼¼ÊõÕï¶Ï¸ÎÏËά»¯×¨¼ÒÒâ¼û ¸ÎÔàÓ²¶ÈÆÀ¹ÀС×é I¹Ø¼ü´Ê¡¿Ë²Ê±µ¯±Ý³ÉÏñ¼¼Êõ£» ¸ÎÏËά»¯£» Õï¶Ï£» ר¼ÒÒâ¼û Recommendations fortheclinical application oftransient elastography inliverfibrosisassessment Review Panelfor Liver StiffnessMeasurement£® [Keywordsl Transient elastography£»Liver fibrosis£» Diagnosis£»Recommendation Corresponding author£ºHOU Jin¡ªlin,Email£ºjlhou@smu£®edu£®cn£® DepartmentofInfectious Diseaseand HepatologyUnit,Nanfang Hospital,Southern Medical University,Guangzhou 51051¹¤China Co¡ªcorresponding author£ºJIAJi¡ªdong,Email£ºjiamd@263£®net£® LiverResearch Center,BeijingFriendship Hospital,Capital Medical University,Beijing100054China »ùÓÚ¸ÎÔà˲ʱµ¯ÐÔ³ÉÏñ¼¼Êõ(transient elastography£¬ TE)µÄFibroscanÄܹ»Í¨¹ý¼ì²â¸ÎÔàÓ²¶ÈÖµ(fiver stiffness measurement£¬LSM)À´ÅжϸÎÏËά»¯£¬"rEÕï¶Ï¸ÎÑ׸ÎÓ² »¯µÄЧÄÜÓÅÓÚFibroTest¡¢FibroMeter¡¢HepaScore¡¢APRI¡¢ API¡¢FIB-4¡¢ForesÖ¸Êý¡¢HuiÖ¸Êý¡¢´ú³¥|Éú¸ÎÓ²»¯Ö¸Êý(CCI) µÈѪÇåÉúÎïѧ±êÖ¾Îï[1-7]ÔÚÎÒ¹úÒѱ»Åú×¼ÓÃÓÚÁÙ´²¡£Îª´Ù½ø ÕâÒ»¼¼ÊõÔÚÁÙ´²ÉϵÄÕýÈ·ºÏÀíÓ¦Óã¬Öйú¸ÎÑ×·ÀÖλù½ð»á×é ֯ר¼Ò׫дÁË¡¶Ë²Ê±µ¯ÐÔ³ÉÏñ¼¼ÊõÕï¶Ï¸ÎÏËά»¯×¨¼ÒÒâ¼û¡·£¬ ²¢ÔÚÖ£ÖÝÕÙ¿ªÌÖÂÛ»á½øÒ»²½Ð޸ġ¢¶¨¸å¡£Ëæ×ÅÁÙ´²Êµ¼ùµÄ½ø Õ¹¼°Ö¤¾Ý»ýÀÛ£¬×¨¼ÒίԱ»á½«¶Ô±¾Òâ¼û×÷½øÒ»²½ÍêÉÆ¡£ 1£®ÂýÐԸβ¡¸ÎÏËά»¯ÎÞ´´Õï¶ÏµÄ±ØÒªÐÔ£º¸ÎÔàÊÇÒ»³ÁĬ µÄÆ÷¹Ù£¬¶àÊýÂýÐÔ¸ÎÑ×ÄËÖÁÔçÆÚ¸ÎÓ²»¯¿ÉÎÞÌØÒìÐÔµÄÖ¢×´¡¢ ÌåÕ÷¼°ÉúÎﻯѧָ±ê±»·¢ÏÖ£¬Ò»µ©³öÏÖÃ÷ÏÔÖ¢×´¡¢ÌåÕ÷£¬¶à ÊýÒÑÓÐÃ÷È·¸ÎÓ²»¯ÉõÖÁ³öÏÖ¸ÎË¥½ß¡£Òò¶ø£¬¸ÎÏËά»¯Õï¶Ï¶Ô ÂýÐԸβ¡Ô¤ºóÆÀ¹À¼°ÖÎÁƾö²ßÓÐÖØÒª¼ÛÖµ£¬¼°Ê±ÆÀ¹À²¢·¢ÏÖ ½øÕ¹ÆÚ¸ÎÏËά»¯¡¢ÔçÆÚÕï¶Ï¸ÎÓ²»¯ÊÇÂýÐԸβ¡¹ÜÀíµÄ¹Ø¼ü²½ Öè¡£×÷Ϊ¸ÎÏËά»¯£¯¸ÎÓ²»¯Õï¶Ï¡°½ð±ê×¼¡±µÄ¸Î´©´Ì×é֯ѧ ¼ì²é£¬ÒòÆäÓд´ÐÔ¶øµ¼ÖÂÒÀ´ÓÐԵͼ°ÄÑÒÔÖظ´¼ì²é£¬ÇÒÒò¸Î ×éÖ¯±ê±¾È¡ÑùÎó²î¼°±ê±¾½ÏС¶øµ¼Ö¸ÎÏËά»¯×¼È·ÐÔ²»×ã¼° ¸ÎÓ²»¯Â©ÕÒò¶øÓ¦ÓÃÊܵ½ÏÞÖÆ£¬Òò´ËÑз¢ÎÞ´´¸ÎÏËά»¯Õï ¶Ï¼¼ÊõÖÁ¹ØÖØÒª¡£ 2¡£¸ÎÏËά»¯ÎÞ´´Õï¶ÏÓ¦ÓÃÔ­Ôò£ºÎÞ´´Õï¶ÏµÄÕï¶Ï½çÖµÐè DOI£º10£®3760£¯cma£®j£®issn£®1007¡ª3418£®2013£®06£®009 ͨÐÅ×÷Õߣººî½ðÁÖ£¬ÄÏ·½Ò½¿Æ´óѧÄÏ·½Ò½Ôº¸Î²¡ÖÐÐĺ͸ÐȾÄÚ ¿Æ£¬510515£¬Email£ºjlhou@smu£®