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慢性HBV感染重叠非酒精性脂肪性肝病的自然史、无创诊断及临床管理

徐亮 李萍 陈林 宓余强

徐亮, 李萍, 陈林, 等. 慢性HBV感染重叠非酒精性脂肪性肝病的自然史、无创诊断及临床管理[J]. 临床肝胆病杂志, 2021, 37(7): 1501-1507. DOI: 10.3969/j.issn.1001-5256.2021.07.003
引用本文: 徐亮, 李萍, 陈林, 等. 慢性HBV感染重叠非酒精性脂肪性肝病的自然史、无创诊断及临床管理[J]. 临床肝胆病杂志, 2021, 37(7): 1501-1507. DOI: 10.3969/j.issn.1001-5256.2021.07.003
XU L, LI P, CHEN L, et al. Natural history and non-invasive diagnosis and clinical management of chronic HBV infection overlapping with nonalcoholic fatty liver disease[J]. J Clin Hepatol, 2021, 37(7): 1501-1507. DOI: 10.3969/j.issn.1001-5256.2021.07.003
Citation: XU L, LI P, CHEN L, et al. Natural history and non-invasive diagnosis and clinical management of chronic HBV infection overlapping with nonalcoholic fatty liver disease[J]. J Clin Hepatol, 2021, 37(7): 1501-1507. DOI: 10.3969/j.issn.1001-5256.2021.07.003

慢性HBV感染重叠非酒精性脂肪性肝病的自然史、无创诊断及临床管理

DOI: 10.3969/j.issn.1001-5256.2021.07.003
详细信息
    通讯作者:

    宓余强,yuqiangmi68@163.com

  • 中图分类号: R512.62;R575.5

Natural history and non-invasive diagnosis and clinical management of chronic HBV infection overlapping with nonalcoholic fatty liver disease

  • 摘要: 慢性HBV感染(CBI)重叠NAFLD情况日益普遍,而在重叠NAFLD对肝病自然史影响的研究中,多数认为重叠NAFLD促进了CBI患者肝硬化、肝细胞癌的发生,并促进了包括肝病死亡在内的全因死亡率,但也有研究得出了不同的结论;CBI重叠NAFLD时发生肝损伤的病因诊断是一个难题,金标准仍是肝组织病理,而探讨无创诊断方法意义重大;CBI重叠NAFLD需要在积极防治NAFLD的基础上根据现行CBI诊疗指南酌情进行抗HBV感染治疗。

     

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