超声引导下肝脏穿刺活检并发症探讨与研究

摘要

Objective To discuss the complications of liver biopsy under the guidance of color Doppler ultrasound, and explore its preventive measures. Methods 2 522 cases of patients underwent liver biopsy under the guidance of color Doppler ultrasound in our hospital from January 2009 to March 2012 were selected. The incidences of postoperative complications were surveyed and analyzed. Results Among 2 522 cases of patients with liver biopsy, 22 cases (0.87%) were found bleeding, including 2 cases (0.08%) of massive haemorrhage, 18 cases (0.71%) of subcapsular hemorrhage, 1 case (0.04%) of hemobilia, 1 case (0.04%) of delayed hemorrhages. 130 cases (5.15%) were found ache. Conclusion Given liver biopsy to patients with liver increase, severe jaundice or long-term cholestasis should be careful.%目的 探讨彩色多普勒超声引导下肝脏穿刺活检的并发症及其防治措施.方法 选择2009年1月~2012年3月我院彩色多普勒超声引导下肝脏穿刺活检患者2 522例,观察术后并发症的发生率并分析.结果 本组2 522例经皮肝穿刺活检患者中发生出血22例(0.87%),其中,大出血2例(0.08%),包膜下出血18例(0.71%),胆道出血1例(0.04%),迟发性出血1例(0.04%);疼痛130例(5.15%).结论 对肝脏增大、重度黄疸、长期淤胆患者肝脏穿刺应慎重.