Corr P, Beningfield S J, Davey N
Department of Radiology, Groote Schuur Hospital/University of Cape Town, Observatory, South Africa.
Clin Radiol. 1992 Apr;45(4):238-9. doi: 10.1016/s0009-9260(05)80004-2.
Transjugular liver biopsy was performed in 200 patients for whom percutaneous biopsy was contraindicated because of coagulation disorders (36%), ascites (32%) or for the work-up of portal hypertension (32%). An adequate biopsy allowing a histological diagnosis was obtained in 155 patients (77%). The biopsy was inadequate in 13 patients (6.5%). In 32 patients (16%) the biopsy failed. Complications occurred in 18 patients (9%). Twelve (6%) patients developed liver capsule perforations which were immediately embolized without complication. Inadvertent carotid artery puncture and supraventricular tachycardias occurred in three patients each. Transjugular liver biopsy is a valuable technique which provides information which would otherwise be unavailable in those patients for whom percutaneous biopsy is considered unsafe.
对200例患者进行了经颈静脉肝活检，这些患者因凝血功能障碍（36%）、腹水（32%）或为评估门静脉高压（32%）而存在经皮肝活检禁忌证。155例患者（77%）获得了足以进行组织学诊断的活检标本。13例患者（6.5%）的活检标本不充分。32例患者（16%）活检失败。18例患者（9%）发生了并发症。12例（6%）患者出现肝包膜穿孔，均立即进行了栓塞，未出现并发症。3例患者发生了意外颈动脉穿刺，3例患者出现室上性心动过速。经颈静脉肝活检是一项有价值的技术，可为那些被认为经皮肝活检不安全的患者提供其他方法无法获得的信息。
