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经皮超声引导下肝穿刺活检术——单中心经验

Percutaneous ultrasound-guided plugged liver biopsy - a single-centre experience.

作者信息

Singhal Soumil, M D Pradeep, Inuganti Srikar, Botcha Sandeep, Deepashree Deepashree Thiruchunapalli, Uthappa Mangerira C

机构信息

New Cross Hospital, Wolverhampton, United Kingdom.

Gleneagle Global Hospital, India.

出版信息

Pol J Radiol. 2021 Apr 26;86:e239-e245. doi: 10.5114/pjr.2021.105852. eCollection 2021.

Abstract

BACKGROUND

Liver biopsy is a widely used, safe diagnostic tool utilised by clinicians for the histopathological assessment of the liver. Our study aims to report our experience in patients who underwent ultrasound-guided plugged percutaneous liver biopsy in a tertiary care hospital in India.

MATERIAL AND METHODS

The Institutional Ethical Review Board approved this retrospective study, and informed consent was obtained from all the patients. A total of 830 liver biopsies were performed between January 2014 and December 2018, of which 782 were plugged percutaneous liver biopsies. The tract was plugged using Gelfoam slurry. Various observations related to the procedures were recorded.

RESULTS

Seven hundred and eighty-two were plugged percutaneous liver biopsies, which were performed during the study period. Of the 782 patients, 163 were male, and 619 were female (20.8 % and 79.2 %, respectively), with a mean age of 49.6 ± 2 years (1 month to 86 years). A 100% technical success rate was seen. No immediate major complications were documented in any of the patients who underwent plugged biopsies. No significant complications were seen in any patient.

CONCLUSIONS

Percutaneous liver biopsy is an extensively performed diagnostic tool. We found that ultrasound-guided percutaneous plugged liver biopsy is an easy to perform procedure, which is associated with a lower risk of a bleeding complications.

摘要

背景

肝活检是临床医生广泛使用的一种安全的诊断工具,用于肝脏的组织病理学评估。我们的研究旨在报告我们在印度一家三级护理医院对接受超声引导下经皮肝穿刺活检并进行穿刺通道封堵的患者的经验。

材料与方法

本回顾性研究获得了机构伦理审查委员会的批准,并获得了所有患者的知情同意。2014年1月至2018年12月期间共进行了830例肝活检,其中782例为经皮肝穿刺活检并进行穿刺通道封堵。穿刺通道使用明胶海绵混悬液进行封堵。记录了与手术相关的各种观察结果。

结果

在研究期间共进行了782例经皮肝穿刺活检并进行穿刺通道封堵。在这782例患者中,男性163例,女性619例(分别占20.8%和79.2%),平均年龄为49.6±2岁(1个月至86岁)。技术成功率为100%。接受穿刺通道封堵活检的患者中,没有记录到任何立即发生的严重并发症。任何患者均未出现明显并发症。

结论

经皮肝活检是一种广泛应用的诊断工具。我们发现,超声引导下经皮肝穿刺活检并进行穿刺通道封堵是一种易于实施的手术,其出血并发症风险较低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0945/8147717/d77c96e716ea/PJR-86-43969-g001.jpg

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