Must Heavy Fatty Liver Make Liver Puncture Needle?

Oct 12, 2022

What to check for if you have fatty liver:

1, liver function test is one of the fatty liver examination items: Liver function test can effectively reflect the severity of fatty liver disease in human liver. Mild fatty liver is normal in general liver function test, while moderate fatty liver and moderate fatty liver are impaired in liver function, resulting in high blood transaminase, fatty liver ALT is generally higher than AST, alcoholic fatty liver AST is higher than ALT; Serum bilirubin is often abnormal; Serum cholinase was elevated.

2. Liver imaging examination of fatty liver: Mainly includes the type B ultrasound, CT and MRI, including the preferred type B ultrasonic examination, because type B ultrasonic economic, rapid, accurate and non-invasive, for the diagnosis of severe fatty liver was 95%, but once the degree of liver fatty change less than 30% when B type ultrasonic is difficult to detect, at this time should be further CT or MRI examination, in order to make clear diagnosis (but need to pay attention to: No matter B ultrasound, CT or MRI can accurately evaluate the stage of the disease, to accurately evaluate the stage should also refer to the serological indicators).

3, have fatty liver to do liver puncture examination: liver puncture examination is the main standard for the diagnosis of fatty liver, for the localization of local fatty liver, necessary special staining, immunohistochemistry, tissue biochemical determination and special cytology examination in the morphological examination, can improve the purpose of diagnosis. In addition, the indications and contraindications of liver biopsy cytology must be strictly controlled.

4, fatty liver patients should do blood lipid examination: triglyceride, total cholesterol, free fatty acids can be increased, especially triglyceride, more diagnostic value; Serum enzymes, B-globulin, ferritin, Apo and bile acids were often elevated in serological indexes, but they were not specific and could not accurately reflect the etiology of fatty liver

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