Question: I do not want to do liver wear, what are the ways to help diagnose liver cirrhosis? A department chief physician Longyao infection
Question: I do not want to do liver wear, what are the ways to help diagnose liver cirrhosis? A department chief physician Longyao infection of Affiliated Hospital of Guangdong Medical College: liver biopsy is the gold standard for the diagnosis of liver cirrhosis. But this is a traumatic means, to the liver puncture liver tissue can be carried out for this examination. Most patients are not willing to accept the examination. In addition to liver biopsy, the clinical examination items which are conducive to the judgment of cirrhosis? Comprehensive index often helps in the diagnosis of liver cirrhosis include the following five items: 1, blood routine (if less than the normal value of platelet leukocyte, suggesting that hypersplenism, is likely to have liver cirrhosis). Two, liver functions: 1 liver enzymes, the proportion of AST/ALT, if the two enzyme ratio of > 1, liver cirrhosis, but to eliminate influence of reducing enzyme drugs, many people are drinking AST/ALT > 1; 2 for mild to moderate elevated bilirubin, especially indirect bilirubin is often is the decompensated liver cirrhosis. But we should pay attention to individual patients with congenital jaundice (Gilbert syndrome) serum indirect bilirubin may be prolonged or repeated increases, this situation can not be diagnosed with cirrhosis; 3 serum proteins: albumin (A) decreased globulin (G) increased, A/G (< 1), inverted liver cirrhosis; 4 GGT increased (early liver cirrhosis, the enzyme can be increased, but many other reasons can be increased, such as cholestasis, liver, biliary tract cancer long-term drinking). Three, serum fibrosis markers (HA LN PC C III IV) increased, there is a certain reference value, but not as an important basis for the clinical study showed that serum fibrosis markers increased and liver pathological results are often inconsistent. Four, check imaging, including ultrasound, CT and MRI have important reference value, for example, b-tip had splenomegaly of portal vein widened, left lobe of liver disorders, liver nodules or coarse matter, these signs are more likely to have liver cirrhosis. Five, liver fibrosis scan (Fibroscan), a reference value, but it can not be used as a basis for diagnosis, and many grassroots hospitals have not yet carried out this examination. The above mentioned indexes should be considered synthetically in order to get more accurate conclusions.
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