Chua Tiffany, Faigel Douglas O
Division of Gastroenterology and Hepatology, Mayo Clinic Phoenix, Phoeniz, AZ, USA.
Division of Gastroenterology and Hepatology, Mayo Clinic Phoenix, Phoeniz, AZ, USA.
Gastrointest Endosc Clin N Am. 2019 Apr;29(2):369-379. doi: 10.1016/j.giec.2018.11.007. Epub 2019 Feb 2.
"Endoscopic ultrasound (EUS)-guided ablative therapies have advanced significantly and have led to experimental applications in locations that have been difficult to image and/or reach with percutaneous approaches, such as the caudate and left lobe of the liver. EUS-guided treatments of the liver are under development. The literature has shown that many percutaneous ablative techniques are readily adaptable for EUS. In this review, the authors discuss the current developments on EUS-guided ablation of liver tumors, including injection of sclerosants, thermal therapy, and EUS-guided portal injection of chemotherapy."
内镜超声（EUS）引导下的消融治疗取得了显著进展，并已在经皮途径难以成像和/或到达的部位进行了实验性应用，如肝脏尾状叶和左叶。EUS引导下的肝脏治疗正在研发中。文献表明，许多经皮消融技术很容易适用于EUS。在本综述中，作者讨论了EUS引导下肝肿瘤消融的当前进展，包括注射硬化剂、热疗以及EUS引导下门静脉化疗注射。
