中国现代医学杂志2017，Vol.27Issue(22)：112-116,5.DOI:10.3969/j.issn.1005-8982.2017.22.023
4种评分系统在非酒精性脂肪肝病肝纤维化程度的诊断效能评价
Evaluation of four scoring systems in diagnosis of hepatic fibrosis in patients with nonalcoholic fatty liver disease
张意兰 1马英杰 1王志凌 1王郁杰 1杨丽 1朱绍辉2
作者信息
- 1. 郑州人民医院消化科,河南郑州450052
- 2. 新乡医学院第一附属医院消化科,河南新乡453100
- 折叠
摘要
Abstract
Objective To evaluate the diagnostic value of NFS,APRI,BARD and BAAT four scoring systems in patients with nonalcoholic fatty liver disease (NAFLD) in our hospital and to explore the diagnostic efficacy of combination of these systems.Methods The patients diagnosed with NAFLD in our hospital from July 2013 to September 2016 were enrolled.The clinical and laboratory parameters were measured.The scores of NFS,APRI,BARD and BAAT were calculated.The diagnostic value of these systems was evaluated with reference to histological results.Results In the 96 patients with NAFLD,66 patients had hepatic fibrosis.The sensitivity and the specificity of the NFS system for diagnosis of hepatic fibrosis in the patients were 1.92％ and 100％ respectively.The sensitivity of APRI system was 7.58％ and the specificity was 93.33％.The sensitivity of BAAT score and BARD score was 0.00％ and 63.64％ respectively and the specificity was 94.74％ and 16.67％ respectively.The sensitivity of NFS combined with APRI was 10.71％ and the specificity was 90.00％.The sensitivity of BARD combined with BAAT was 76.36％ and the specificity was 10.34％.Conclusions Because of high sensitivity,combination of BARD with BAAT can be used for initial screening of NAFLD.Single use of NFS or APRI has high specificity,so they can be used for further differential diagnosis of NAFLD.关键词
非酒精性脂肪肝病/BARD评分/BAAT评分/天冬氨酸氨基转移酶血小板比率指数/纤维化Key words
nonalcoholic fatty liver disease (NAFLD)/BARD/BAAT/APRI/fibrosis分类
医药卫生引用本文复制引用
张意兰,马英杰,王志凌,王郁杰,杨丽,朱绍辉..4种评分系统在非酒精性脂肪肝病肝纤维化程度的诊断效能评价[J].中国现代医学杂志,2017,27(22):112-116,5.
