内镜技术在肝脏疾病诊断治疗中的应用及发展  

Application and development of endoscopic techniques in the diagnosis and treatment of liver diseases

作　　者：陆靖怡 曲颖 陆伦根[1] LU Jingyi;QU Ying;LU Lungen(Department of Gastroenterology,The First People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200080,China)

机构地区：[1]上海交通大学医学院附属第一人民医院消化科,上海200080

出　　处：《临床肝胆病杂志》2024年第4期834-838,共5页Journal of Clinical Hepatology

摘　　要：肝脏疾病是全球最主要的健康问题之一,早期诊断和及时干预治疗是预防肝脏相关疾病发病率和死亡率的关键。内镜技术的发展为肝病的诊断和干预提供了新的手段。本文介绍了超声内镜引导下肝穿刺活检的技术进展与优势,简述内镜技术在治疗肝脓肿/肝囊肿、肝脏疾病引起的门静脉高压以及治疗肝脏肿瘤等介入技术的应用与发展,展示了在国内较为新颖的内镜下减重技术在治疗非酒精性脂肪性肝病/非酒精脂肪性肝炎的功效与前景。内镜技术有望在国内的肝脏相关疾病中得到更好、更广泛的应用与探索,为患者与医生提供更多选择。Liver disease is one of the most important health problems around the world,and early diagnosis and timely intervention and treatment are the key to preventing liver-related morbidity and mortality rates.The development of endoscopic techniques has provided new diagnostic and intervention methods for liver diseases.This article reviews the application and development of endoscopic techniques in liver diseases from the following aspects:the technical advances and advantages of endoscopic ultrasound-guided liver biopsy;the application and development of endoscopic techniques in the treatment of portal hypertension caused by liver abscess/hepatic cyst and liver diseases,as well as interventional techniques in the treatment of liver tumors;the efficacy and prospects of the endoscopic techniques for weight loss,which are relatively new in China,in the treatment of nonalcoholic fatty liver disease/nonalcoholic steatohepatitis.Endoscopic techniques may hold promise for wide clinical application and exploration in in liver-related diseases in China,so as to provide more options for patients and doctors.

关 键 词：肝疾病 内窥镜 内镜超声引导细针穿刺 

分 类 号：R575[医药卫生—消化系统]