经颈静脉肝穿刺活检16例临床应用分析  

Analysis of Clinical Application of Transjugular Liver Biopsy in 16 Cases

作　　者：冯凯 黄湘荣[1] 刘文浩 肖亮 朱质斌[2] 王立非[1] FENG Kai;HUANG Xiangrong;LIU Wenhao(Department of Interventional Radiology,The Third People’s Hospital of Shenzhen,Shenzhen,Guangdong Province 518112,P.R.China)

机构地区：[1]深圳市第三人民医院放射介入科,518112 [2]深圳市第三人民医院肝病科,518112

出　　处：《临床放射学杂志》2023年第1期111-114,共4页Journal of Clinical Radiology

摘　　要：目的探讨经颈静脉肝穿刺活检的技术安全性及临床应用价值。方法回顾性分析接受经颈静脉肝穿刺活检术的16例患者临床资料,对穿刺适应证、穿刺技术成功率、手术并发症、穿刺病理标本质量等进行总结。结果16例患者中存在凝血功能异常或腹腔积液患者10例(62.5%),同时行肝静脉压力梯度检测患者6例(37.5%);所有患者手术技术操作均取得成功,技术成功率为100%;3例(18.7%)患者术后出现颈部穿刺点局部血肿,所有患者均无肝周出血、下腔静脉出血等严重并发症;平均每例穿刺次数为3.8次;所有患者均取得足够肝组织并获得组织学诊断,病理诊断率100%。结论对于存在经皮肝活检禁忌症的患者,经颈静脉肝穿刺活检术是一种安全有效的肝活检方法。Objective To explore the safety and clinical application of transjugular liver biopsy.Methods Clinical data of 16 patients who received liver biopsy through the internal jugular vein were retrospectively analyzed and the quality of puncture pathological specimens were summarized.Results Atotal of 16 patients was included 10 patients(62.5%)had abnormal coagulation function or ascites,and 6 patients underwent hepatic venous pressure gradient detection at the same time(37.5%).All patients were successfully operated,and the technical successfull rate was 100%.3 patients(18.7%)had local hematoma at the neck puncture point after operation and all patients had no perihepatic hemorrhage,inferior vena cava Hemorrhage and other serious complications.The average number of punctures per case was 3.8.All patients obtained sufficient liver tissue and received histological diagnosis(diagnosis rate:100%).Conclusion For patients with contraindications to percutaneous liver biopsy,transjugular liver biopsy is a safe and effective method for liver biopsy.

关 键 词：肝穿刺活组织检查 经颈静脉 肝脏病理 

分 类 号：R575[医药卫生—消化系统]