Analysis and management of the complications of ultrasound-guided hepatic puncture biopsy

VernacularTitle:超声引导肝穿刺活检并发症及处理对策
Author: Songyuan YU ; Yuan DENG ; Yali QU ; Liyan GUO ; Shaobin ZHANG
Publication Type:Journal Article
Keywords: Ultrasonography; Liver diseases; Biopsy,needle; Postoperative complications
From: Chinese Journal of Ultrasonography 2011;20(6):496-498
CountryChina
Language:Chinese
Abstract: Objective To investigate the features,prevention and treatment of complications of ultrasound-guided hepatic puncture biopsy.Methods One hundred and seventy-five cases underwent ultrasound-guided hepatic puncture biopsy were retrospectively analyzed.Results The incidence of complications was 16 cases (9.1%),including 5 cases with vasovagal episodes(2.9%),4 cases with ache which needed medicine treatment (2.2%),3 cases with hemorrhage in liver capsule(1.7%),3 cases with hypoglycemia(1.7%),1 case with serve hemorrhage in abdominal cavity(0.6%).Hemorrhage limited in liver capsule,vasovagal episodes,hypoglycemia and ache were relieved with corresponding treatments.One case with hemorrhage in abdominal cavity was handled with percutaneous microwave ablation therapy guided by contrast-enhanced ultrasound.Conclusions Ultrasound-guided hepatic puncture biopsy has good value and low complication.The most severe complication is hemorrhage,which can be handled with percutaneous microwave ablation therapy guided by contrast-enhanced ultrasound.