Hepatitis B patients in what circumstances need to do liver puncture

Liver biopsy may be required in patients with unexplained hepatomegaly or abnormal liver function, suspected cirrhosis or liver cancer, high hepatitis B virus load but normal liver function, antiviral therapy, and liver-related symptoms. Liver biopsy is generally required in patients with hepatitis B: 1. Unexplained hepatomegaly or abnormal liver function. 2. Liver cirrhosis or liver cancer is suspected. 3. Hepatitis B virus load is high, but liver function is normal. It is necessary to understand the degree of liver inflammation and fibrosis. 4. During antiviral treatment, it is necessary to evaluate the treatment effect or adjust the treatment plan. 5. Liver related symptoms, such as fatigue, jaundice, abdominal pain, etc. Liver puncture is an invasive procedure. Although it is less risky, complications such as bleeding and infection may occur. Therefore, before deciding whether to perform liver puncture, the doctor will carefully evaluate the patient's condition and risks and inform the patient of the pros and cons of the examination. Liver puncture may not be suitable for patients with bleeding tendencies, severe cardiopulmonary diseases, thrombocytopenia, etc. If the doctor believes that liver puncture is helpful to the diagnosis and treatment of the patient, the patient can fully communicate with the doctor to understand the process and precautions of the examination, and make a decision according to his own situation. After the examination, the patient needs to rest and observe according to the doctor's requirements, and pay attention to whether discomfort occurs. In short, liver puncture is an important examination in the diagnosis and treatment of hepatitis B patients, but it needs to be carried out under the guidance of doctors. Patients should actively cooperate with doctors for better treatment results.