通过实时超声波方法进行皮肤肝脏活检后的并发症率,并引入统一的方法:简要报告
Mohammad Reza Sasani1, Alireza Rasekhi1
1Medical Imaging Research Center, Department of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran.
Iranian journal of medical sciences
|February 7, 2024
概括
评估了一种标准化的穿皮肝活检方法,发现并发症率为19.8%,主要是轻度疼痛和出血. 这种统一的方法可能为肝脏活检程序提供更安全的替代方案.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 干预性放射学 干预性放射学
- 医疗程序 医疗程序
背景情况:
- 透皮肝活检对于诊断肝脏疾病至关重要.
- 现有的活检技术表现出显著的变化,导致不一致的并发症率.
- 需要一种标准化的方法来确保全球可靠和可比的结果.
研究的目的:
- 使用一致的方法来确定穿皮肝活检的确切并发症率.
- 建立通过皮肤进行肝脏活检的标准化操作程序,产生可比的结果.
- 评估一种统一的穿皮肝活检技术的安全性和有效性.
主要方法:
- 一项对116名在2018年7月至2019年7月期间接受皮肤肝活检的患者的回顾性研究.
- 实施统一的程序:单针类型/大小,单通,肋下接近,屏住呼吸,标准化准备,实时超声指导,单操作员,没有镇静.
- 排除可能影响并发症率的变量.
主要成果:
- 整体并发症率为19.8%.
- 轻度疼痛和出血发生在18.9%的患者中.
- 一名患者 (0.9%) 发生了需要预防住院的血瘤;没有观察到其他并发症.
结论:
- 该研究使用标准化方法准确估计了肝活检后的并发症率.
- 统一的方法表明,与其他实践程序相比,并发症率较低.
- 这种标准化的方法可以在临床实践中成为一个有价值的替代方案,等待进一步的研究.
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