Wildhirt E, Möller E
Med Klin. 1981 Apr 24;76(9):254-5, 79.
Report about the experience in almost 20000 cases of percutaneous liver biopsy. The puncture was done by Menghini needle.
No case of death, 11 bleedings, 1 biliary peritonitis, 1 exudative pleurisy, 1 valvular pneumothorax, 2 hematothoraxes. In 5 cases laparotomy was necessary. The frequency of non lethal complications was 0,08%, of complications with following laparotomy 0,25%. All punctions were done with a needle caliber of 1,8 mm. Our experience shows that the risk of bleeding is not correlated with the caliber of the punction needle. In comparison with other statistics the postpunctional morbidity is distinctly better; fortunately we had no mortality.
关于近20000例经皮肝穿刺活检经验的报告。穿刺采用Menghini针进行。
无死亡病例,11例出血,1例胆汁性腹膜炎,1例渗出性胸膜炎,1例瓣膜性气胸,2例血胸。5例需要开腹手术。非致命并发症的发生率为0.08%,后续需要开腹手术的并发症发生率为0.25%。所有穿刺均使用1.8毫米口径的针。我们的经验表明,出血风险与穿刺针的口径无关。与其他统计数据相比,穿刺后的发病率明显更低;幸运的是,我们没有出现死亡病例。