Who Needs A Liver Biopsy

Liver pathological examination is the gold standard for the diagnosis of liver diseases, but it must be performed on the premise of obtaining living tissue, so it is generally performed when diagnosis is necessary. At present there are three types of liver biopsy based methods, one is the percutaneous puncture, this method is simple and easy, dangerous, fewer complications, but smaller drawn by the organization, has certain blindness, 2 it is directly under laparoscopic liver biopsy, the organization poultice is bigger, can from a conspicuous location on the lesions puncture, bleeding and handled in time, like to use by clinicians, However, compared with the former, it has certain trauma, and the patient is not willing to accept it. The third is to cut the liver tissue directly under the condition of surgical operation, which is generally carried out at the same time when the patient needs certain surgical operations. Because liver puncture is a traumatic examination, attention should be paid to its indications and contraindications. At present, liver biopsy performed in the outpatient department of the Third Hospital of Beijing Medical College is usually percutaneous biopsy under the guidance of B-ultrasound, which is simple and safe. What person needs to do liver puncture pathological examination? 1. For patients with chronic hepatitis B and C, to determine the treatment plan, or to compare the efficacy before and after treatment; 2. Hepatosplenomegaly with unclear diagnosis; 3. Suspected liver tumor; 4, difficult liver disease and biochemical and imaging examination can not be confirmed; 5. Other diseases that need to be confirmed by liver biopsy. What person can't have a liver biopsy? 1, abnormal coagulation function, prothrombin time prolonged, prolonged coagulation time, 2, the number of platelets decreased, bleeding tendency, 3, more serious illness have liver failure or severe anemia, the patient is not the author.

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