Which Fatty Liver Patients Need Liver Biopsy Needle

B ultrasound guided liver biopsy cytology is the main method to diagnose fatty liver, especially focal fatty liver. Special staining, immunohistochemistry, tissue biochemistry and special cytology can improve the purpose of diagnosis. Because liver biopsy is traumatic and difficult for patients to accept, and non-traumatic examinations such as B-ultrasound and CT can basically make the diagnosis of fatty liver, so liver biopsy is mainly used for: ① the difference between focal fatty liver and tumor. ② To explore some rare diseases, such as hemochromatosis, cholesterol ester storage disease, glycogen storage disease, etc. ③ Liver biopsy is the only diagnostic method for asymptomatic suspicious non-alcoholic steatohepatitis. ④ Alcoholic liver disease after abstinence or alcoholic liver disease with unexplained clinical or biochemical abnormalities. ⑤ In obese patients with persistent liver enzyme abnormalities after 10% weight loss, liver biopsy should be performed to find other causes. ⑥ Any suspicion is not simple hepatocyte steatosis or suspected of multiple causes.

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