Diagnosis and treatment of liver puncture

Liver biopsy is an examination method that can directly understand the pathological changes of tissues and make a more accurate diagnosis. It is also an important basis for the classification of liver diseases, so liver biopsy is extremely important. Its role in viral hepatitis is as follows: (1) can be clearly diagnosed

Clinical diagnosis of disease often has a certain deviation, only pathological diagnosis is really reliable. Sometimes the clinical diagnosis is acute hepatitis, while the pathology suggests an acute attack of chronic hepatitis. The clinical diagnosis was acute or subacute severe hepatitis, and the pathological findings were massive or submassive necrosis on the basis of cirrhosis, that is, chronic severe hepatitis. Clinical diagnosis of chronic hepatitis or virus carriers, and pathological evidence for early cirrhosis and so on. There are some non-viral hepatitis liver damage patients, blood test alone, B ultrasound, CT and other examinations are difficult to identify viral hepatitis. For example, Zhang Hongfei analyzed 1020 pediatric liver biopsies and showed that non-viral liver damage accounted for 9.6% (98 cases), among which there were as many as 18 causes, the top five being: A. Diseases related to lipid metabolism; B. Hepatolenticular degeneration; C. glycogen storage disease; D. Progressive muscular dystrophy; E. Autoimmune hepatitis. Therefore, liver biopsy can provide important clues for the diagnosis of liver disease.

(2) To judge the condition, guide the treatment and evaluate the prognosis

Chronic disease virulent HEPATITIS PERSON LIVER INFLAMMATION AND fibrosis degree AND treatment and prognosis have close CONCERN, ONLY CLINICAL symptom AND ASSAY RESULT, DO NOT HAVE LIVER BIOPSY TO MAKE CORRECT JUDGMENT VERY HARD. For example, hepatitis B virus carriers, through liver biopsy found that 10% of the liver tissue normal; 70% of the patients had mild liver lesions. 20% have chronic active hepatitis, liver cirrhosis. The top 80 percent do not need treatment; the bottom 20 percent do. There is a direct relationship between the severity of severe hepatitis and the degree of hepatocyte necrosis. The prognosis of severe hepatitis can be estimated by calculating the proportion of hepatocyte volume in liver biopsy. Those whose hepatocyte volume was less than 10% died, and those whose hepatocyte volume was more than 35% regained consciousness. In 22 CASES OF SEVERE HEPATITIS, MULTIPLE liver BIOPSIES WERE PERFORMED AND IT WAS FOUND THAT THE proportion OF hepatocyte VOLUME in liver tissue after hepatocyte regeneration was >45% in patients with regained consciousness. In the recovery process of severe hepatitis patients, reexamination of liver biopsy, according to the degree of hepatocyte recovery and fibrous tissue hyperplasia, also has certain reference significance for prognosis. Pathology showed severe hepatocyte destruction and hepatic lobule structure disorder. Fibrous tissue hyperplasia is much, adumbrative patient will develop cirrhotic.

(3) Evaluation of treatment effect

The effect of treatment can not depend on the subjective feeling of the patient, laboratory tests are also affected by various factors, while liver biopsy is more objective and accurate.

(4) It provides an important means for the study of the pathogenesis of liver diseases.

The indications are as follows: ⑴ hepatomegalia of unknown cause, such as viral hepatitis, autoimmune hepatitis, congenital metabolic disease, liver tuberculosis, malignant histiocytosis and sarcodontia, etc. ⑵ Distinguish between medical and surgical jaundice, such as cholestatic hepatitis, primary biliary cirrhosis, and drug-induced hepatitis. (3) Judge the disease, prognosis and efficacy. Contraindications: hepatic coma, bleeding tendency, local infection, ascites, severe jaundice, extrahepatic obstructive jaundice, hepatocercosis, hepatic hemangioma.

If you have any questions, please contact us. Our company can produce various customized needles, medical needles, puncture needles, hypodermic needles, biopsy needles, vaccine needles, injection needles, syringe needles, veterinary needles, pencil point needle, ovum pick up needles, spinal needles, etc. If you need customized needle products, please contact us. We look forward to your inquiry! The quality of the products manufactured in our factory will surely satisfy you!

Please contact us if you need: zhang@sz-manners.com