Rasmussen K B
Naestved Centralsygehus, medicinsk afdeling.
Ugeskr Laeger. 1993 May 24;155(21):1639-42.
A retrospective study of 145 inpatients who during a five-year period underwent 147 percutaneous liver biopsies is presented. 8.2% of the biopsies were undertaken with ultrasound detection, 91.8% a.m. Menghini. Forty-four percent of the patients were suspected of alcohol induced liver disease, 20% had suspected malignancies. 7.5% had minor complications and 2.7% major complications after biopsy. The presence of risk factors was more pronounced among the patients who had complications than among those who did not. Seven patients underwent treatment for their liver disease after biopsy; none of these had alcohol induced liver disease, 1.6% of the bed days in the department were occupied by liver biopsy patients. It is concluded that percutaneous liver biopsy is a common, simple and cheap diagnostic procedure, but is not without risks. Risk patients can often be identified before biopsy.
本文对145例住院患者进行了回顾性研究,这些患者在五年期间共接受了147次经皮肝穿刺活检。8.2%的活检是在超声引导下进行的,91.8%是Menghini法。44%的患者被怀疑患有酒精性肝病,20%怀疑患有恶性肿瘤。活检后7.5%的患者出现轻微并发症,2.7%出现严重并发症。有并发症的患者中危险因素的存在比无并发症的患者更明显。7例患者活检后接受了肝病治疗;这些患者均无酒精性肝病,肝病患者占用了该科室1.6%的床位日。结论是,经皮肝穿刺活检是一种常见、简单且廉价的诊断方法,但并非没有风险。高危患者通常可在活检前识别出来。