Who Needs A Biopsy Needle For Liver Puncture?

Who needs a biopsy needle for liver puncture?

Liver pathology examination is the gold standard for diagnosing liver diseases, but it must be prerequisite to obtain living tissues, so it is usually performed when a diagnosis is needed. At present, there are three methods to obtain materials from liver tissues. One is percutaneous puncture, which is simple and easy to perform, with less risk and complications. However, the tissues obtained are small and have a certain degree of blindness, and the other is laparoscopic The liver tissue is directly taken. The obtained tissue mass is relatively large. It can be punctured from obvious lesions and treated in time. It is preferred by clinicians, but it is more traumatic than the former. The patient is not willing to accept it. The third is In the case of surgery, the liver tissue is directly cut out, usually at the same time when the patient needs certain surgical operations. Since liver puncture is a traumatic examination, attention should be paid to its indications and contraindications. At present, the liver biopsy performed in the outpatient department of the Third Hospital of Beijing Medical University is generally a percutaneous puncture under the guidance of B-ultrasound, which is simple and safe to operate. Who needs a liver puncture pathological examination?

1. To determine the treatment plan for patients with chronic hepatitis B and C, or to compare the curative effect before and after treatment.

2. The diagnosis of hepatosplenomegaly is unclear.

3. Suspected liver tumors.

4. Difficult liver disease cannot be diagnosed due to biochemical and imaging examinations.

5. Other diseases that need to be confirmed by liver biopsy.

Who can't get a liver biopsy?

1. Abnormal blood clotting function, prolonged prothrombin time, prolonged blood clotting time.

2. The number of platelets is reduced, and there is a tendency to bleeding.

3. Patients who are severely ill with liver failure or severe anemia, etc., and the patient does not cooperate.

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