一、肝病危害
随着自然环境的改变和科学经济的发展,人类的生活发生了日新月异的变化,肝病因此成为目前影响人类健康与造成人类死亡的主要疾病之一。
据美国肝脏基金会数据统计:
美国有超过三分之一的人口,也就是超过 1 亿多人患有某种形式的肝病,有 8千万至1 亿成年人患有脂肪肝,而且许多人并不知道自己患有这种疾病。如果不及时控制和治疗,脂肪肝就可能会进一步恶化,导致肝炎、肝纤维化、肝硬化、肝功能衰竭甚至肝癌。
2020 年,美国有 51,642 名成年人死于肝病。
2020 年,慢性肝病/肝硬化是美国的第 12 大死因。
2019 年,慢性肝病是美国中年人的第 8 大死因。

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二、造成肝病的原因
造成肝损伤一般来说有五大因素:
1、熬夜
2、酒精
3、病毒(各类肝炎病毒感染)
4、脂肪摄入过量、肥胖
5、毒素(药物损伤、食物毒素、化学毒素)
三、肝病主要分类
肝病一般是由各种原因导致的肝损伤所造成的,主要分为脂肪肝、肝炎、肝纤维化、肝硬化、肝癌这五大类,若从致病原因上来划分,又可分为酒精性肝病与非酒精性肝病。肝病的五大种类之间有一个慢慢转变和恶化的过程。
一般肝损伤的过程,是由脂肪肝不加以治疗与控制,慢慢发展成肝炎,然后由肝炎发展成肝纤维化,再发展恶化成肝硬化,最后甚至发展成肝癌的过程。
其中脂肪肝、肝炎与没有造成永久损伤的轻微肝纤维化,如果及早发现和治疗是可以逆转和恢复的。而造成永久损伤的肝纤维化、肝硬化、肝癌则是不可逆转的,会直接危及生命。
所以肝病要早发现、及早治疗,不要拖成严重的永久性肝损伤后,再治疗就晚了。美国肝脏基金会统计出,美国有近一亿人患有脂肪肝,但因为这些早期的肝病并没有非常明显的症状表现出来,所以许多人并不知道自己患有这种疾病。
目前检查肝健康状况有几种医疗方式,其中最先进、最方便无痛的是“肝扫描仪”。
四、肝纤维化无创检测
1、肝病检测原理与方法

ECHOSENS FibroScan 502 Touch
爱科森肝功能剪切波量化超声诊断仪
肝病是由肝损伤后造成的。肝脏损伤后,会形成疤痕,当疤痕组织取代健康组织时,就会损害肝脏功能,使肝脏慢慢硬化、纤维化,使肝脏“变硬”,这疤痕就是导致肝脏“变硬”,使肝纤维化、肝硬化形成的原因。所以检测肝脏硬度是诊断肝病、肝损伤程度的重要指标。
目前对肝病、肝纤维化的诊断方法,除了公认的肝穿刺和抽血查血清纤维化之外,还有一种先进无痛无创伤的全新诊断方法,即肝纤维化扫描仪(FibroScan),它利用肝脏的硬度指标来判断肝脏纤维化/硬化的分级,这个仪器已成为肝病临床诊断的重要手段。这个仪器通过用50 mHZ(赫兹)波的剪切流速(shEAr vEloCity),分析多个部位2-5厘米大小的肝脏硬度,之后将结果转换成千帕 (kPA)压力值,从而准确检测肝病。FibroScan无创检测肝脏纤维化已经被写入中国、美国、亚太和欧洲各大肝病指南,已经和肝功能、彩超等一样成为肝脏病患者的常规检查项目之一。
肝纤维化扫描(FibroScan) 是一种非侵入性的技术程序,用于评估肝脏的纤维化以及器官内积累的脂肪量。过程很轻松,只需10分钟即可完成。此外,并发症的风险极小,这意味着重复筛查不会对健康构成风险,并且患者能够在扫描完成后立即返回家中。
2、纽约肝病检查治疗推荐
荆彤医生是纽约肝肠科权威专家,在行业内具有良好的口碑。荆彤肠胃中心率先引进世界上最先进的肝扫描仪 FibroScan。
目前世界上检查脂肪肝和肝硬化的最先进仪器就是Echosens公司生产的FibroScan®肝扫描仪,荆彤肠胃中心是法拉盛地区两家引进了这种设备的华人肠胃科诊所之一。这种肝扫描仪具有无创、高度准确、检查方便的特点,检查结果立等可取。目前荆彤肠胃中心已为纽约数千人次进行了肝病检查,在Fibroscan检查方面积累了大量经验。

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病人只要来之前的6个小时内不吃不喝,空腹就可以了。该检测方式快捷方便,检测结果精准而无创伤,对减轻患者痛苦等诸多方面具有深远的社会意义。
3、什么是FibroScan?
FibroScan是一种新型的肝纤维化无创检测设备,由法国ECHOSENS公司发明并生产,属于体外用诊断设备,是全球首个也是唯一一个通过量化肝脏硬度数值,来诊断和监测慢性肝病的完全无创的实时检测设备。该设备使用方法简单而可靠,可减少肝病患者检测痛苦,并对各种病因导致的慢性肝病肝脏的纤维化程度做出更准确的判断。较传统的肝穿刺检测法有着分级准确、无创伤痛苦的优势,并可大幅降低患者的检查费用。目前FibroScan已在世界各大先进国家得到广泛应用,成为肝病临床诊断的主要方式之一。
自2003年以来,已有相关数百篇相关临床研究文献发表,并在许多如AASLD、EASL、APASL等国际会议上进行了学术交流。大量临床试验对FibroScan用于丙肝、乙肝及其它肝病诊断评估已经做了充分的验证,已证实FibroScan对肝纤维化各期的分级诊断具有极高的准确性。
另外,大多数医生的使用经验证明,使用FibroScan诊断肝纤维化可使75%以上的患者避免进行肝脏穿刺活检,而且可以大大提高患者肝硬化的检出率,是一个被临床医生推荐的,用于慢性肝病患者治疗疗效评估有利检测工具。

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事实上FibroScan的诊断精度很高,不仅能够用来筛查严重的病毒性肝病病人的纤维化和肝硬化,而且适用于其他肝病。大量独立的临床研究都已证实,FibroScan的适用范围极为广泛,如正在治疗中的病人,血友病患者,药物成瘾者,肝移植者等。在无法使用肝活检的情况下,如在正常人群中筛查肝硬化,帮助酗酒者脱瘾,评估新的抗纤维化手段,甚至发现定义严重的肝硬化亚型等,使用FibroScan都能在上述领域为医生和患者提供极具价值的帮助。
4、谁应该接受肝脏检查?
患有肝脏疾病或怀疑患有肝脏疾病(包括肝炎,脂肪肝疾病和肥胖症)的患者;
肝硬化患者;
有肝癌或肝炎家族病史的人;
需要详细健康检查的患者;
长时间定期喝酒的人。
5、不适合肝纤维化扫描的人群
孕妇;
具有主动植入式医疗设备 (例如近距离放射治疗设备)的患者;
18岁以下人士。
6、病人反馈

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五、肝病症状
肝病不一定会有明显的症状,尤其是早期的脂肪肝,不易觉察,所以大量患有脂肪肝的病人并不知道自己患有这种疾病。但如果不加控制,任其发展,轻度脂肪肝可能会发展成严重的脂肪肝,这时可能会出现类似肝炎的表现,出现食欲不振、疲倦乏力、恶心、呕吐、肝区或右上腹隐痛等症状,这时需要立即就医。
需提醒的是,早期脂肪肝症状不明显,并不代表脂肪肝对身体没有伤害,任其发展,脂肪肝可能发展成为肝硬化,甚至肝癌。如果出现以下症状,可能就是肝病的表现:
- 皮肤和眼睛发黄(黄疸)
- 腹痛和肿胀
- 腿部和脚踝肿胀
- 皮肤瘙痒
- 尿液颜色呈深色
- 大便颜色苍白
- 慢性疲劳
- 恶心或呕吐
- 食欲不振
- 容易瘀伤
如果出现以上症状,可以预约检查是否患有肝病。如果您出现无法忍受的严重腹痛,请立即就医。

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六、荆彤肠胃肝脏科诊所
Jing Gastroenterology & Hepatology
地址:136-68 Roosevelt Avenue, 3F, Flushing ,NY 11354
电话:(718) 886-9819
营业时间:
Mon-Sar:8:00~19:00
Sun:14:00~19:00
语言:中文、英文、上海话

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