Diehl David L
Department of Gastroenterology and Nutrition, Geisinger Medical Center, 100 North Academy Avenue, 21-11, Danville, PA 17822, USA.
Gastrointest Endosc Clin N Am. 2019 Apr;29(2):173-186. doi: 10.1016/j.giec.2018.11.002. Epub 2019 Feb 2.
There remains an important role for liver biopsy in the management of liver disorders. Image-guided liver biopsy can be obtained with percutaneous or transjugular approaches. Real-time image-guided liver biopsy can be accomplished with endoscopic ultrasound (EUS). EUS-guided liver biopsy (EUS-LB) has emerged as a safe means of obtaining liver biopsy. EUS-LB confers several advantages over other methods, including the ability to target both lobes of the liver, increased patient comfort and decreased apprehension during the procedure, and shorter recovery time after the biopsy. Future development of technology that allows for EUS-guided portal pressure measurement could further drive EUS-LB use.
肝活检在肝脏疾病的管理中仍发挥着重要作用。影像引导下的肝活检可通过经皮或经颈静脉途径获取。实时影像引导下的肝活检可通过内镜超声（EUS）完成。EUS引导下肝活检（EUS-LB）已成为获取肝活检的一种安全方法。EUS-LB与其他方法相比具有多个优势，包括能够对肝脏的两个叶进行靶向取材、在操作过程中提高患者舒适度并减轻焦虑，以及活检后恢复时间更短。未来能够实现EUS引导下门静脉压力测量的技术发展可能会进一步推动EUS-LB的应用。
