Why Is It Done? Is It Harmful?

Jul 04, 2022

Liver puncture is both an examination and a treatment. Liver puncture should be considered when there are some liver diseases with unknown diagnosis: for example, those who are suspected of gastric hepatitis and difficult to diagnose, or those who need pathological examination to assist classification; Long-term low-fever cases, which are caused by liver disease and have been ruled out by comprehensive examination; Hepatomegaly and splenomegaly of unknown cause, or need to be differentiated from liver tuberculosis, fatty liver and other diseases; Viral and drug - induced liver damage is unknown and so on. In addition, patients with liver abscess can be extracted through liver puncture, but also through the injection of drugs into the needle treatment, so that a part of the patient from the pain of surgery. After liver puncture, some patients will have temporary pain in liver area or pain in liver puncture site, but the general reaction is mild, does not need to be treated, after 24 hours can relieve itself. At present, some hospitals have adopted fine needle puncture guided by B-ultrasound, which has the advantages of small damage and accurate positioning, especially suitable for determining the nature of intrahepatic space-occupying diseases. Some people believe that liver puncture will damage the "vitality", so when doctors propose to do liver puncture, they are often nervous and worried, and feel uncomfortable in one way or another after surgery. When the doctor explains to the patient in detail, the discomfort will soon disappear, indicating that the psychological factor is a large proportion. But if the patient has bleeding tendency or other contraindications, it should be delayed or not made. (1) The existence of cirrhosis can be determined. (2) To identify the clinical types of cirrhosis, can distinguish alcoholic cirrhosis, or post-hepatitis cirrhosis, and whether accompanied by active hepatitis. (3) Determine the degree of liver fibrosis and cirrhosis to provide objective basis for clinical drug treatment and prognosis judgment. (4) To judge the effect of drug treatment and changes in the condition. (5) to identify the nature and cause of jaundice, clinical jaundice difficult to determine the cause of liver biopsy. (6) Differential diagnosis of various liver diseases, such as liver tumor, fatty liver, liver tuberculosis followed by liver abscess, etc.

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