评估与儿童代谢功能障碍相关的脂肪性肝病的血液生物标志物

Meltem GÜMÜŞ, Alaaddin YORULMAZ, Hakan CANDAN, Mehmet ÖZTÜRK, Fuat BUĞRUL, Halil Haldun EMİROĞLU
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引用次数: 0

摘要

目的:探讨基于炎症的生物标志物在诊断为代谢功能障碍相关脂肪变性肝病(MASLD)的儿童中的临床意义和诊断价值。方法:回顾性评估2022年7月至2023年1月在xx大学儿科肝病科随访的患者档案。根据AASLD和EASL标准诊断的MASLD患者120例,健康对照80例。通过计算实验值和公式进行比较。 结果:患者组女生50例(41.7%),男生70例(58.3%);对照组女生40例(50.0%),男生40例(50.0%)。肝超声检查0级患者80例为对照组,1级102例(85%),2-3级18例(15%)为患者组。将患者的数值与健康志愿者的数值进行比较。根据肝脏分级比较WBC、中性粒细胞、淋巴细胞、血小板、MHR、RPR、RLR、MPR、WMR、GPR、SII和fib -4评分值时,发现患者所做的检查具有相关性。 结论:我们的研究表明,MASLD的存在应该在个体中进行调查,早期诊断和治疗可以预防可能的并发症。因此,我们认为使用血液学生物标志物将有助于简单快速地检测疑似MASLD患者和需要进一步检查和治疗的患者。
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Çocukluk Çağı Metabolik Disfonksiyonla İlişkili Steatotik Karaciğer Hastalığında Hematolojik Biyobelirteçlerin Değerlendirilmesi
Aim:We aimed to investigate the clinical significance and diagnostic value of inflammation-based biomarkers in children with a diagnosis of Metabolic Dysfunction Associated Steatotic Liver Disease(MASLD). Methods:This study was carried out by retrospectively evaluating the files of patients followed up in the Department of Pediatric Hepatology at xxUniversity between July 2022 and January 2023.The study was completed with 120 patients with MASLD diagnosed according to the criteria of the AASLD and EASL, 80 healthy controls.Comparisons were made by calculating laboratory values and formulas through them. Results:There were 50(41.7%)girls and 70(58.3%)boys in the patient group,and 40 girls (50.0%) and 40 boys(50.0%) in the control group.While 80 patients with Grade 0 detected in liver ultrasonography were taken as the control group;102(85%) Grade 1 and 18(15%)Grade 2-3 patients were considered as the patient group.The values of the patients were compared with the values of healthy volunteers.When the WBC, neutrophil, lymphocyte, platelet, MHR, RPR, RLR, MPR, WMR, GPR, SII and FIB-4score values were compared according to liver grading, a correlation was found in the tests performed on the patients. Conclusion:Our study suggests that the presence of MASLD should be investigated in individuals, and possible complications can be prevented with early diagnosis and treatment approaches.As a result, we think that the use of hematological biomarkers will be useful for the simple and rapid detection of patients with suspected MASLD and who need further examination and treatment.
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