How to diagnose liver cirrhosis?

If you want to correctly diagnose whether it is a problem with cirrhosis, you cannot ignore a comprehensive examination, which includes laboratory tests and imaging tests, such as liver, gallbladder, spleen, B-ultrasound exploration and cardiopulmonary fluoroscopy, which are all ways to examine cirrhosis.

(1) Laboratory tests: Alanine aminotransferase, aspartate aminotransferase, gamma-glutamyl transpeptidase, alkaline phosphatase, prothrombin time and activity, bilirubin, alpha-fetoprotein, white blood cell classification, platelet count, urea nitrogen. Liver function It is generally believed that the level of serum transaminase in liver function tests can reflect the degree of liver inflammation. If the patient's serum transaminase is very high, even accompanied by jaundice, this often indicates that the liver inflammation is more obvious and requires further treatment.

Etiology includes two pairs of hepatitis B antigen and antibody and HBV-DNA. HbsAg positive is a sign of hepatitis B carriers. If HbsAg is negative and HbsAb is positive, it has the ability to resist hepatitis B infection. Among them, HBeAg and HBV-DNA positivity are indicators of active viral replication. At this time, the patient is highly contagious and should be given enough attention and regular antiviral treatment, such as lamivudine and other nucleoside analogs.

(2) Imaging examination: B-ultrasound of the liver, gallbladder, and spleen, cardiopulmonary fluoroscopy, and esophageal barium meal. B-ultrasound of the liver is a reference for assessing the degree of liver cirrhosis. Combined with the degree of elevation of alpha-fetoprotein, it is also a tool for early detection of liver malignancies.

(3) Others: CT scans of the gallbladder, liver, and spleen, isotope liver scans, etc. If B-ultrasound reveals a problem, an enhanced CT scan of the liver can be performed to greatly improve the efficiency of diagnosing early liver cancer. Hepatitis B and cirrhosis are the basis for liver cancer. Patients who pay attention to routine physical examinations can usually detect, diagnose, and treat early, thus gaining a favorable opportunity for a good prognosis. Routine blood tests can detect the levels of white blood cells, hemoglobin, and platelets, and assess the severity of hypersplenism. Alpha-fetoprotein can be used to screen for early liver cancer.