What is the most accurate liver examination? Although living conditions are getting better and better now, more and more people are in sub-health state, so many people attach great importance to their health. Therefore, I often go to the hospital for physical examination. What is the most accurate examination of the liver?
What is the most accurate examination for liver 1 Generally speaking, liver examination mainly includes liver color Doppler ultrasound, liver CT, liver magnetic resonance, liver function, liver biopsy and so on. Among them, liver color Doppler ultrasound includes contrast-enhanced liver ultrasound, and liver CT includes enhanced liver CT and plain liver CT scan. Magnetic resonance imaging (MRI) of liver includes general MRI and enhanced MRI. Generally speaking, according to the different conditions of the liver, check the situation of liver lesions.
1. Liver color Doppler ultrasound has the highest detection accuracy for intrahepatic bile duct stones, and also has a strong resolution for intrahepatic bile duct dilatation. It also has certain diagnostic value for benign liver lesions, such as hepatic cyst and hepatic hemangioma. However, compared with enhanced CT and magnetic vibration, the accuracy is slightly worse.
2. The accuracy of contrast-enhanced CT and contrast-enhanced magnetic resonance imaging in the diagnosis of liver malignant tumor is obviously better than that of ordinary color Doppler ultrasound in the liver. The most accurate examination of liver malignant tumor is pathological examination after liver biopsy. Therefore, we can try to determine the nature of liver lesions by ultrasound-guided liver biopsy.
The liver suggests that you can measure your liver function and do a color Doppler ultrasound of your liver and gallbladder. If you have hepatitis, you can first treat it with antiviral drugs, such as interferon. If conditions permit, you can cooperate with Chinese medicine for better treatment. Usually eat less greasy and spicy food, which is not good for the liver. It is suggested that we must actively prevent and control some diseases such as liver injury, fatty liver, alcoholic hepatitis, liver cirrhosis and liver cancer.
Symptoms of poor liver can mainly be manifested as fever, fatigue, nausea, vomiting, muscle pain, dizziness, headache, abdominal pain, and jaundice usually occurs. Her early symptoms resemble a cold. Some patients have mild liver swelling, aversion to oil, persistent and obvious abdominal distension, and often have gingival bleeding and nosebleeds. The skin has telangiectasia, and vermilion-like dense erythema with obvious size and color can be seen on hands and feet, which is called liver palm.
What is the most accurate examination for liver? 2. Patients' liver function mainly includes liver function examination, liver imaging examination, liver fiber examination and liver histopathology examination. Generally speaking, if the doctor suspects that the patient has liver fibrosis, it is necessary to conduct liver histopathological examination. Liver histopathological examination is the most direct and reliable method to detect whether patients have liver fibrosis.
1, liver function test
Liver function test is mainly to judge whether the patient's liver has substantial damage, and can also accurately reflect whether there is any problem with the liver. The data in liver function examination include alanine aminotransferase, glutamyltransferase, total bilirubin, aspartate aminotransferase, bilirubin and so on.
2, liver imaging examination
Liver imaging examination is mainly B-ultrasound examination. B-ultrasound examination can clearly see whether the liver has tumors and other problems, and can also judge whether the patient's liver has lesions.
3. Four kinds of liver fibers
The four tests of liver fibrosis are mainly to judge whether the liver has liver fibrosis or cirrhosis. Liver fibers include hyaluronic acid, proline hydroxylase, procollagen III and laminin.
4, liver histopathological examination
Liver histopathological examination is the most direct and reliable method to detect whether patients have liver fibrosis. If the patient is suspected to have liver fibrosis, then liver histopathology examination can be carried out, which can not only clarify the condition, but also diagnose the development degree of the disease.
Liver examination, as follows:
First, if the patient has not had a liver examination before, which is equivalent to the first physical examination, he can initially do a basic examination of liver biochemistry, liver B-ultrasound and liver elasticity.
Second, after the test results come out, if the liver is damaged and the transaminase is increased, we should further test the causes, such as viral hepatitis, hepatitis A, hepatitis B, hepatitis C, hepatitis C and hepatitis E, followed by antibodies related to autoimmune liver disease, and the quantification of immunoglobulin, EB virus, cytomegalovirus, related antibodies or viruses. Then, it also includes the examination of hyperthyroidism, that is, the function of thyroid, because hyperthyroidism can also damage the liver. The above are some tests of common causes.
Third, if there are signs of splenomegaly or early cirrhosis during the process of doing B-ultrasound, or there are clear manifestations of cirrhosis. If the biochemical indexes of the liver are seriously damaged, it suggests that there is serious liver injury and further coagulation is needed to see what the synthetic function of the liver is. At the same time, because the spleen is suspected to have cirrhosis, whether there is hypersplenism at this time, it is necessary to check the blood routine to see if white blood cells and platelets have decreased.
This is a routine physical examination of the liver, or some items that are often done after problems are found.
What is the most accurate examination for liver? 3 What are the items to check the liver?
1, liver imaging examination
First of all, the liver examination needs to be done by B-ultrasound. In this way, we can not only see whether there is any problem with the liver, but also diagnose whether there are some sexually transmitted diseases and so on. In addition, any liver damage can be detected. This inspection operation is relatively simple and harmless, and the price is relatively cheap, and it can be done repeatedly.
2. Liver function test
This examination is mainly to judge whether there is any substantial damage to the liver, and it can also accurately reflect whether there is any problem with the liver. This test includes alanine aminotransferase, glutamyltransferase, total bilirubin, aspartate aminotransferase and direct bilirubin (D-Bil).
3. Four tests of liver fiber
The four tests of liver fibrosis are mainly to judge whether the liver has liver fibrosis or sclerosis. There are many common detection indexes, such as hyaluronic acid, proline hydroxylase, type ⅲ procollagen, laminin and so on.
4, liver histopathological examination
This examination is mainly the most direct and reliable method for liver fibrosis. Generally speaking, this test is needed to judge liver fibrosis. This examination can not only diagnose whether it is liver fiber, but also diagnose the degree of lesion, which is very helpful to understand the development after the disease.
5, liver puncture examination
This is used for other examination methods, to check the severity of the disease or to pass other examinations. When in doubt, you can pass the liver puncture examination, which is very beneficial to the diagnosis of the disease.
Generally speaking, you need to pay attention to some problems before doing liver examination. For example, you can't eat after 9 pm the day before the exam, and you can't eat breakfast in the morning. In addition, you can't drink water, because the liver examination requires fasting blood. Of course, you can't take some medicine or do some strenuous exercise before the examination. In addition, drinking alcohol should be prohibited the day before the examination, which will affect the value of liver function transaminase.