经颈静脉肝组织活检53例分析  

Analysis of 53 cases of transjugular liver biopsy

作　　者：王磊 岳振东 赵洪伟 范振华 吴一凡 张裕 齐瑞兆 张珂 蒋力 丁惠国[4] 张月宁[4] 刘福全 Wang Lei;Yue Zhendong;Zhao Hongwei;Fan Zhenhua;Wu Yifan;Zhang Yu;Qi Ruizhao;Zhang Ke;Jiang Li;Ding Huiguo;Zhang Yuening;Liu Fuquan(Department of Interventional Therapy,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China;Department of Surgery,the Fifth Medical Center of Chinese People's Liberation Army General Hospital,Beijing 100039,China;Department of Surgery,Beijing Ditan Hospital,Capital Medical University,Beijing 100015,China;Department of Gastroenterology,Beijing You’an Hospital,Capital Medical University,Beijing 100069,China)

机构地区：[1]首都医科大学附属北京世纪坛医院介入治疗科,北京100038 [2]中国人民解放军总医院第五医学中心外科,北京100039 [3]首都医科大学附属北京地坛医院外科,北京100015 [4]首都医科大学附属北京佑安医院消化科,北京100069

出　　处：《中华肝脏病杂志》2022年第2期220-223,共4页Chinese Journal of Hepatology

基　　金：首都卫生发展科研专项项目(重点攻关-首发2018-1-2081)。

摘　　要：目的探讨经颈静脉肝组织活检(TJLB)的实用性与安全性。方法收集在2015年6月至2020年6月期间53例经颈静脉肝组织活检患者资料, 所有患者均用LABS-100经颈静脉途径取活检标本, 其中经肝静脉穿刺活检者45例, 经下腔静脉肝内段活检者8例。对手术适应证、手术相关并发症、术后病理诊断进行分析总结。结果所有患者TJLB均取得成功, 平均每例穿刺次数为2.8次, 均取得满意的肝组织并获得病理组织学诊断。2例患者出现颈部血肿自行好转, 1例患者出现肝内血肿保守治疗后好转。结论对于存在经皮肝穿刺禁忌证的患者, TJLB是一种实用、安全的方法。Objective To investigate the practicability and safety of transjugular liver biopsy(TJLB).Methods Data of 53 cases with transjugular liver biopsy from June 2015 to June 2020 were collected.LABS-100 was used in all patients who underwent transjugular liver biopsy.Among them,45 cases and eight were biopsied via hepatic vein and intrahepatic segment of the inferior vena cava.The surgical indications,related complications,and postoperative pathological diagnosis were analyzed and summarized.Results TJLB was successful in all patients,with an average of 2.8 punctures per case.Satisfactory liver tissue and histopathological diagnosis was obtained in all patients.Two cases developed a cervical hematoma that was improved spontaneously,and one patient developed an intrahepatic hematoma that was improved after conservative treatment.Conclusion TJLB is a practical and safe method for patients with contraindications to percutaneous liver biopsy.

关 键 词：肝活检 经颈静脉肝穿刺活检术 介入放射学 

分 类 号：R657.3[医药卫生—外科学]