实用医学杂志 ›› 2023, Vol. 39 ›› Issue (3): 381-385.doi: 10.3969/j.issn.1006⁃5725.2023.03.021

• 综述 • 上一篇    下一篇

ALBI 分级在肝细胞癌肝功能评估及预后分层的应用及研究进展 

詹一 倪才方 仲斌演 田鹏程    

  1. 苏州大学附属第一医院介入科(江苏苏州215006)

  • 出版日期:2023-02-10 发布日期:2023-02-10
  • 通讯作者: 倪才方 E⁃mail:cjr.nicaifang@vip.163.com
  • 基金资助:
    国家自然科学基金青年科学基金(编号:81901847)

Research advances of ALBI grade for liver function assessment and prognosis stratification

ZHAN Yi,NI Caifang,ZHONG Binyan,TIAN Pengcheng.   

  1. Department of Interventional Radiology,the First Affiliated Hospital of Soochow University,Suzhou 215006,China 

  • Online:2023-02-10 Published:2023-02-10
  • Contact: NI Caifang E⁃mail:cjr.nicaifang@vip.163.com

摘要:

目前临床上对于肝癌患者的肝功能评估和治疗相关的预后预测仍以 Child⁃Pugh 评分为主, 但在实施“精准医学”的年代越显其存在着明显不足之处。本文就近年来利用 ALBI 分级(白蛋白⁃胆红素 分级)在接受不同方式治疗的肝癌的患者的疗效评估、预后预测方面的应用、ALBI 分级的优、缺点加以总 结,并将近年来将其应用于预测模型的研究现状进行综述,以为临床工作提供更大的帮助。

关键词:

白蛋白?胆红素分级, 肝细胞癌, 肝功能, 预后

Abstract:

The major tool for liver function assessment and prognosis stratification for patients with hepato⁃ cellular carcinoma is Child⁃Pugh score. Nevertheless,the accuracy of the Child⁃Pugh score on this topic is limited by its disadvantages. With the aim to provide better clinical evidence and benefits,the review article summarized the ability of the albumin⁃bilirubin(ALBI)grade in evaluating the efficacy and predicting the prognosis of various treatments for patients with hepatocellular carcinoma(HCC)as well as the advantages and disadvantages of ALBI classification. In addition,ALBI grade⁃based prognostic models for HCC were also reviewed.

Key words:

albumin? bilirubin grade, hepatocellular carcinoma, liver function, prognosis