Ble Michel, Procopet Bogdan, Miquel Rosa, Hernandez-Gea Virginia, García-Pagán Juan Carlos
Hepatic Hemodynamic Laboratory, Liver Unit, Hospital Clínic, IDIBAPS (Institut d'Investigacions Biomèdiques August Pi i Sunyer, University of Barcelona), C/ Villarroel 173, Barcelona 08036, Spain.
Hepatic Hemodynamic Laboratory, Liver Unit, Hospital Clínic, IDIBAPS (Institut d'Investigacions Biomèdiques August Pi i Sunyer, University of Barcelona), C/ Villarroel 173, Barcelona 08036, Spain; Gastroenterology Department, 3rd Medical Clinic, University of Medicine and Pharmacy "Iuliu Hatieganu", Str. Victor Babes 8, Cluj-Napoca 400012, Romania; Gastroenterology Department, Regional Institute of Gastroenterology and Hepatology "O. Fodor", Strada Constanţa 5, Cluj-Napoca 400158, Romania.
Clin Liver Dis. 2014 Nov;18(4):767-78. doi: 10.1016/j.cld.2014.07.001. Epub 2014 Aug 30.
Liver biopsy is still the gold standard for evaluation of acute and chronic liver diseases, despite achievements regarding noninvasive diagnosis and staging in liver diseases. Transjugular liver biopsy (TJLB) has proved a good option when ascites and/or significant coagulopathy precludes a percutaneous approach. Because diagnostic hemodynamic procedures can be performed during the same session, it is useful in many clinical settings, regardless of the absence of percuteaneous contraindications. TJLB is a safe technique able to provide good-quality specimens with a low rate of complications. This article presents an overview of TJLB that discusses the technique, applicability, indications, contraindications, complications, and diagnostic accuracy.
尽管在肝脏疾病的非侵入性诊断和分期方面取得了进展，但肝活检仍是评估急慢性肝病的金标准。当腹水和/或严重凝血功能障碍排除经皮肝活检方法时，经颈静脉肝活检（TJLB）已被证明是一种不错的选择。由于在同一次操作中可以进行诊断性血流动力学检查，因此无论是否存在经皮肝活检的禁忌证，它在许多临床情况下都很有用。TJLB是一种安全的技术，能够提供高质量的标本，并发症发生率低。本文概述了TJLB，讨论了该技术、适用性、适应证、禁忌证、并发症和诊断准确性。
