1、1ppt课件2ppt课件3ppt课件4ppt课件5ppt课件6ppt课件7ppt课件Poynard等研究显示,仅有14%的慢性丙型肝炎(Chronic Hepatitis C,CHC)患者行肝组织活检取材足够,当肝活检和血清学检测结果不一致时,肝活检诊断的失败率是血清学的7倍以上.8ppt课件影像学诊断影像学诊断血清学诊断血清学诊断9ppt课件10ppt课件11ppt课件12ppt课件13ppt课件Sandrin et al. Ultrasound MedBiol, 2003,29 1705-1713. 14ppt课件Castera et al. Gastroenterology, 2005,
2、128 343-350. Ziol et al. Hepatology, 2005,41 48-54. Ledinghen et al. J AIDS, 2006,41 175-179. 15ppt课件Corpechot et al. Hepatology, 2006, 43 1118-1124. Foucher J et al. Gut, 2006,55 403-408. 16ppt课件Chan et al . J Viral Hepat,2008 17ppt课件Marcellin et al. Liver Int,2008 Talwalkar et al. Clin Gastroenter
3、ol Hepatol,2007 18ppt课件19ppt课件Foucher et al. Eur J Gastroenterol Hepatol,2006,1(84):411-412.Sagir et al. Hepatology,2008,47(2):592-595. Millonig et al. Hepatology,2008,48(5):1718-1723. 20ppt课件血清学诊断血清学诊断21ppt课件血清学单项指标血清学单项指标22ppt课件23ppt课件24ppt课件25ppt课件Imbert-Bismut F, et al. Lancet, 2001, 357(9262):
4、1069-1075. Grigorescu M,et al. J Gastrointestin Liver Dis, 2007, 16(1): 31-37. 26ppt课件ASTAST和血小板。和血小板。简单易行简单易行, ,有有利于临床验证,但只能可靠地分辨出晚期肝纤维化利于临床验证,但只能可靠地分辨出晚期肝纤维化, ,对对于大部分早期和中期肝纤维化患者,无法准确了解其于大部分早期和中期肝纤维化患者,无法准确了解其纤维化程度。纤维化程度。Wai CT, et al. Hepatology,2003,38:518-526. 27ppt课件 28ppt课件Patel J ,et al. In:
5、The 53rd Annual Meeting of the American Association for the Study of Liver Diseases. Boston, 2002. 29ppt课件Patel K ,et al. J Hepatol,2004,41(6):935-942. 30ppt课件Rosenberg WM, et al. Gastroenterology, 2004, 127 (6):1704-1713. 31ppt课件32ppt课件Sud A, et al. Hepatology,2004,39(5):1239-1247. 33ppt课件Zeng MD, et al. Hepatology,2005,42(6):1437-1445. 34ppt课件35ppt课件36ppt课件37ppt课件Castera L,et al. Gastroenterology,2005,128:343-350. 38ppt课件表表1、 、APRI及其联合应用的及其联合应用的AUC39ppt课件