临床实验室对非酒精性脂肪肝疾病的评估

Iria Cebreiros López, José Antonio Noguera Velasco
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摘要

非酒精性脂肪性肝病(NAFLD)影响约20%至30%的普通人群,其临床相关性是由于这些受试者中有一部分发展为非酒精性脂肪性肝炎,可发展为肝硬化和肝细胞癌。目前,肝活检是诊断和分层NAFLD的参考标准,但与该程序相关的风险和局限性,以及NAFLD的高发病率和不断增加的患病率,已经引发了对替代非侵入性方法的深入研究,以评估该疾病。在这些方法中,实验室生物标志物由于其非侵入性和测量的可重复性而成为一种有前途的选择。本综述旨在介绍生物标志物在非酒精性脂肪性肝炎治疗中的作用。
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Valoración de la enfermedad por hígado graso no alcohólico desde el laboratorio clínico

Non-Alcoholic Fatty Liver Disease (NAFLD) affects approximately 20% to 30% of the general population, and its clinical relevance is due to the fact that a percentage of these subjects develop non-alcoholic steatohepatitis that can progress to cirrhosis and hepatocellular carcinoma. Currently the liver biopsy is the reference standard for the diagnosis and stratification of NAFLD, but the risks and limitations associated with this procedure, together with the high and increasing prevalence of NAFLD, have triggered an intensive search for alternative non-invasive methods for the evaluation of this disease. Among these methods are the laboratory biomarkers, which have become a promising option due to their non-invasive nature and reproducibility in their measurement. This review aims to present current knowledge on the role of biomarkers in the management of non-alcoholic steatohepatitis.

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