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[经颈静脉肝活检]

[Transjugular biopsy of the liver].

作者信息

Skladaný L, Okapec S, Hudec P, Svác J, Cársky S

机构信息

Interná klinika B NsP F. D. Roosevelta, Banská Bystrica.

出版信息

Vnitr Lek. 1998 Apr;44(4):206-8.

PMID:9820103
Abstract

Transjugular liver biopsy is an alternative of percutaneous biopsy in collection of hepatic tissue for histological examination. It is used when percutaneous biopsy is contraindicated, or involves great risk, i.e. in particular in patients with severe ascites and severely impaired blood coagulation. According to worldwide statistics it occurs in about one third of hepatological patients. The authors present a group of 16 patients who had transjugular biopsy and report on the high yield and low risk of the method. A representative histological sample was obtained in 100%, there were no complications in the investigated group. The authors give an account of the indications and description of the method, its possible complications. They compare their results with data in the literature. Their initial experience confirms that the inclusion of transjugular biopsy among hepatological examination methods is justified.

摘要

经颈静脉肝活检是在获取肝组织进行组织学检查时替代经皮肝活检的一种方法。当经皮肝活检禁忌或风险很大时使用,即特别是在有严重腹水和凝血严重障碍的患者中。根据全球统计,约三分之一的肝病患者会出现这种情况。作者介绍了一组16例行经颈静脉活检的患者,并报告了该方法的高成功率和低风险。100%获得了具有代表性的组织学样本,研究组无并发症发生。作者阐述了该方法的适应证、描述、可能的并发症。他们将自己的结果与文献数据进行了比较。他们的初步经验证实,将经颈静脉活检纳入肝病检查方法是合理的。

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