摘要
目的探讨彩色多普勒超声(彩超)引导下肝脏穿刺(肝穿)风险的防范及规避方案。方法应用Sequioa512型彩超诊断仪,选用4V1探头,并采用巴德穿刺枪,使用16G和18G活检针。患者取左侧卧位,行彩超引导下肝穿,观察记录术中及术后患者并发症及不良反应情况,并给予相应的处理措施。结果 1次取材成功率为99.09%(3397/3428),2次取材成功率为0.85%(29/3428),失败率为0.06%(2/3428)。其中,61例(1.78%)为肝占位性病变穿刺,3367例(98.22%)为肝弥漫性病变穿刺。结论彩超引导下肝穿术前、术中及术后采取合理的处理方案,能够有效地避免并发症及不良反应的发生。
Objective To investigate the strategies for preventing and avoiding the risks in color Doppler ultrasound-guided liver biopsy for patients with liver diseases. Methods Aeuson Sequioa 512 system （Siemens Medical Solutions, Mountain View, USA） with a 3.5-5.0 MHz probe （4V1） was used to obtain sonographic images, and Bard~ biopsy gun with 16-gauge and 18-gauge biopsy needles was used to obtain tissues for biopsy. Color Doppler ultrasound-guided liver biopsy was performed in the left lateral decubitus position, and the incidence of complications and adverse reactions was observed and recorded during and after liver biopsy procedure. Results One-time biopsy success rate reached 99.09% （3397/3428）, two-time biopsy success rate was 0.85% （29/3428）, and biopsy failure rate was 0.06% （2/3428）. Sixty-one （1.78%） patients underwent ultrasound-guided biopsy of space-occupying lesions in the liver, and 3367 （98.22%） patients underwent ultrasound-guided biopsy of diffuse lesions in the liver. Conclusion Taking proper measures before, during and after performing ultrasound-guided automatic biopsy can effectively avoid the incidence of complications and adverse reactions.
出处
《传染病信息》
2012年第5期284-286,共3页
Infectious Disease Information
基金
国家自然科学基金(81101056)
