前沿：内镜肝病学（endohepatology)—内镜超声在肝病的扩展应用

本期播客聚焦内镜超声技术在肝病领域的扩展应用——endohepatology，解析其作为“一站式”平台的潜力与挑战。两位主持人结合《Gastro Hep Advances》综述，深入探讨肝脏活检、门静脉压力测量、胃静脉曲张治疗等多场景应用，对比传统方法的优劣，剖析成本、证据强度等现实困境，并强调需大规模研究验证价值。节目以理性视角呈现新兴技术的创新与局限，展望整合化诊疗的未来方向。00:06引入endohepatology新诊疗平台00:48介绍平台应用与现存挑战01:52详解肝脏活检的传统与新方法02:48对比EUS与经皮肝穿刺活检优势03:41探讨EUS肝活检诊断准确率争议04:35技术进步提升EUS肝活检效能05:38分析EUS肝活检的成本困境06:45讲解门静脉压力梯度测量意义07:46EUS-PPG的准确性与现实难点08:56镇静药物影响EUS-PPG可靠性09:45转向胃静脉曲张的EUS治疗10:33EUS与传统治疗复发率对比11:39联合疗法显著降低复发出血率12:37展望肝脏弹性成像与移植管理13:36整合理念的临床价值与综述意义14:44明确未来研究关键方向

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前沿：内镜肝病学（endohepatology)—内镜超声在肝病的扩展应用

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