What is liver puncture needle? Do a liver puncture in that case
Jan 02, 2023
A liver biopsy is a biopsy of liver tissue. It is very traumatic, many patients do not accept it, and liver biopsy is not routine in the clinic. For patients who generally have to do liver puncture, liver disease has developed to a certain stage, liver destruction is serious, a large number of liver cells have been denaturated and necrotic, the proliferation of fibrous tissue, normal liver lobular structure and blood vessels have been destroyed, there are false lobular formation, generally speaking, has reached the stage of cirrhosis. In terms of liver puncture biopsy, the accuracy rate will be more than 80%, which is a relatively good examination means at present.
Who needs a liver puncture:
1. Differential diagnosis of liver enlargement: For patients with liver enlargement but unclear judgment, liver puncture is helpful to find the cause.
Second, identify the cause of jaundice: generally by asking the history, clinical and laboratory examination can be determined. But about 15% of patients with jaundice still can not be accurately judged, at this time to do liver piercing may be helpful for diagnosis.
Three, the identification of various liver diseases: can be used to help judge the patient is viral hepatitis or toxic liver damage; Chronic hepatitis or cirrhosis; Is it cirrhosis, liver tumor, etc.
Four, unknown cause of spleen enlargement: suspected caused by liver lesions, or liver and spleen enlargement and unknown cause.
5. Understand the evolution of liver disease: for example, identify hepatitis as acute or chronic; The degree of chronic hepatitis activity and whether it has developed into cirrhosis or liver cancer.
Vi. Observation of therapeutic effect and prognosis: Observation of pathological changes after drug treatment to further determine its curative effect. The prognosis of patients can also be determined based on liver pathological changes.
7. Determine the source of the tumor: Determine whether the liver cancer is primary or secondary through liver perforation; Is it hepatocellular or bile duct?
