在超声波导向肝活检后发现延迟出血的危险因素:回顾性分析
Tao Jiang1, Qunying Li1, Ju Li1
1Department of Ultrasonography, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Translational gastroenterology and hepatology
|February 13, 2025
概括
肝活检后延迟出血是一种风险,特别是在血小板数量低和液体积聚 (炎或胸水) 的患者中. 这些因素表明,手术后出现严重并发症的风险更高.
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
- 胃肠病学 胃肠病学
背景情况:
- 穿皮肝活检对于诊断肝病变至关重要.
- 图像指导技术尽量减少并发症,但延迟出血仍然是一个风险.
- 超声波导向肝活检是一种常见的诊断程序.
研究的目的:
- 为了分析超声波导向肝活检后延迟出血的危险因素.
- 为了确定患有和没有活检后出血的患者之间的临床差异.
- 为了比较早期与延迟出血并发症组.
主要方法:
- 对627名接受超声波导向肝活检的患者进行了回顾性研究.
- 从电子医疗记录中提取的数据,包括患者特征和出血事件.
- 倾向性得分匹配 (PSM) 用于控制混因素.
主要成果:
- 观察到三个严重的延迟出血病例 (0.48%的全部刺穿).
- 患有延迟出血的患者血小板数量较低.
- 延迟出血与水胸腺或结有关.
结论:
- 没有发现对整体活检后出血的显著基线风险因素.
- 低血小板和水胸或结的组合增加了延迟出血的风险.
- 早期识别这些因素可能有助于预防严重的出血并发症.
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