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经颈静脉肝活检:对71例患者进行的回顾性研究

[Transjugular liver biopsy: retrospective study performed on 71 patients].

作者信息

Quevedo Ernesto, Tan Jesús, Araujo Gustavo, Morales Humberto, Távara Fabiola

机构信息

Servicio de Radiología General e Intervencionista del Hospital Nacional Guillermo Almenara Irigoyen - Essalud. Lima-Perú.

出版信息

Rev Gastroenterol Peru. 2003 Oct-Dec;23(4):254-8.

Abstract

PURPOSE

The purpose of this study was to evaluate the efficacy and safety of transjugular liver biopsy at the Guillermo Almenara Irigoyen National Hospital - EsSalud.

MATERIAL AND METHODS

A total of 71 transjugular biopsy cases were studied from January 2001 to July 2003 at the Radiology Department, using the Cook Quick Core transjugular biopsy needle. Data collected included the patient demographic data, transjugular biopsy indications, specimen quality, and complications.

RESULTS

Transjugular biopsy indications included coagulopathy, ascites, and terminal chronic renal failure. Diagnostics efficacy was obtained in 92.96% of the cases, with 11.27% of minor complications. The mean number of portal triads was 6.7, the mean number of specimens was 26, and the mean length of the largest fragment was 13.5 mm.

CONCLUSION

Transjugular liver biopsy is a safe and effective procedure with which adequate samples may be obtained from a large number of patients.

摘要

目的

本研究旨在评估在吉列尔莫·阿尔梅纳拉·伊里戈延国家医院 - 埃塞萨尔进行经颈静脉肝活检的有效性和安全性。

材料与方法

2001年1月至2003年7月期间,在放射科共研究了71例经颈静脉活检病例,使用库克快速活检针。收集的数据包括患者人口统计学数据、经颈静脉活检指征、标本质量和并发症。

结果

经颈静脉活检指征包括凝血功能障碍、腹水和终末期慢性肾衰竭。92.96%的病例获得了诊断效果,轻微并发症发生率为11.27%。门静脉三联征的平均数量为6.7,标本的平均数量为26,最大碎片的平均长度为13.5毫米。

结论

经颈静脉肝活检是一种安全有效的方法,可以从大量患者中获取足够的样本。

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