Analysis of risk factors of hemorrhage after ultrasound-guided liver graft biopsy
10.3969/j.issn.1674-7445.2015.06.010
- VernacularTitle:超声引导下移植肝穿刺活检术后出血的危险因素分析
- Author:
Guanghui GUO
1
;
Erjiao XU
;
Rongqin ZHENG
;
Qingjin ZENG
;
Kai LI
Author Information
1. 中山大学附属第三医院超声科
- Keywords:
Liver transplantation;
Puncture biopsy;
Ultrasound-guided;
Hemorrhage;
Risk factor
- From:
Organ Transplantation
2015;(6):397-400
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors of hemorrhage after ultrasound-guided liver graft biopsy.Methods Clinical data of 51 liver transplant patients undergoing ultrasound-guided liver graft biopsy in the Third Affiliated Hospital,Sun Yat-sen University between February 201 3 and April 201 4 were retrospectively studied.Hemorrhage after biopsy was taken the dependent variable.Age,gender,coagulation, duration of biopsy,frequency of biopsy,number of biopsy tissues,medication of anticoagulant or not and cooperation in breathing and breath holding or not were taken as the independent variables.Multivariate non-conditional Logistic regression analysis was performed for all independent variables to screen out the risk factors associated with hemorrhage after ultrasound-guided liver graft biopsy.Results Fifty-one patients underwent 84 biopsies in total and 5 cases (6%)had hemorrhage after biopsy.The multivariate non-conditional Logistic regression analysis showed that obvious hemorrhagic tendency,medication of anticoagulant and poor cooperation in breathing were independent risk factors of hemorrhage after liver graft biopsy (OR was respectively 8.71 , 3.1 6 and 2.03,all in P <0.05).Conclusions Obvious hemorrhagic tendency,medication of anticoagulant and poor cooperation in breathing are independent risk factors of hemorrhage after ultrasound-guided liver graft biopsy.
