Gayral F, Potier M, Salmon R, Labayle D, Larrieu H
J Chir (Paris). 1979 Apr;116(4):261-4.
11 complications were observed in 2,346 cases of needle biopsy (frequency 0.47%) carried out in 1,529 cases under laparoscopy, 527 cases by the intercostal route, and in 290 cases during operation. The symptoms usually appeared early, indicating bleeding. The lesions, isolated or associated were six hemoperitoneums, and 9 hematomas (including 2 subcapsular), 3 intrahepatic (1 FAV), one of the gall bladder, 3 undetermined; 5 patients out of 11 were operated on, 4 out of 11 died. The place of surgical treatment is discussed: one hemoperitoneum led to early surgical operation. An intrahepatic or subscapular hematoma may regress without sequelae. An arteriography after a liver scan should eliminate a major vascular lesion which may eventually require surgery.
在1529例腹腔镜检查、527例经肋间途径及290例手术过程中进行的2346例针吸活检中,观察到11例并发症(发生率0.47%)。症状通常出现较早,提示出血。这些病变单独或合并出现,包括6例腹腔积血、9例血肿(包括2例包膜下血肿)、3例肝内血肿(1例伴有动静脉瘘)、1例胆囊血肿、3例情况不明;11例患者中有5例接受了手术,11例中有4例死亡。文中讨论了手术治疗的时机:1例腹腔积血导致早期手术。肝内或包膜下血肿可能自行消退且无后遗症。肝脏扫描后进行动脉造影应排除可能最终需要手术的主要血管病变。