Immediate postoperative color Doppler ultrasonography on the diagnosis of hemorrhagic complications of liver biopsy and its directed compression hemostasis.
10.3760/cma.j.cn501113-20200809-00446
- Author:
Guo Quan ZHANG
1
;
Ling Yun ZHANG
1
;
Guo Qing HAN
2
;
Yu Hua ZHU
2
;
Ai Min ZHENG
3
Author Information
1. Department of Diagnostic & Therapeutic Ultrasound, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China.
2. Department of Hepatology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China.
3. Department of Oncology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China.
- Publication Type:Journal Article
- MeSH:
Biopsy;
Hemorrhage/etiology*;
Hemostasis/physiology*;
Humans;
Liver/pathology*;
Liver Diseases/pathology*;
Ultrasonography;
Ultrasonography, Doppler, Color/adverse effects*
- From:
Chinese Journal of Hepatology
2022;30(3):285-289
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To study the diagnostic value of immediate color Doppler ultrasonography on traumatic hepatic hemorrhage after tissue sampling with ultrasound-guided liver biopsy and the clinical effect of its-directed local compression hemostasis at puncture-site. Methods: 132 hospitalized patients with various liver diseases underwent ultrasound-guided hepatic puncture-biopsies, including 61 cases with diffuse parenchymal and 71 cases with focal liver lesions. Immediate postoperative color Doppler ultrasonography was performed following liver biopsy. Abnormal blood flow signal was observed at hepatic puncture biopsy site, and if there were hemorrhagic signals, ultrasound-directed local compression hemostasis was performed until the bleeding signal disappeared. F-test and Chi-square test were used for statistical analysis. Results: Immediate color Doppler ultrasonography showed traumatic hemorrhage in 36.1% (22/61) and 40.8% (29/71) cases of diffuse liver disease and focal liver disease group, respectively. All hemorrhagic signals were eventually disappeared after ultrasound-directed local compression hemostasis. The median hemostasis time was 2 min in both groups, and there was no statistically significant difference in bleeding rate and hemostasis time between the two groups (P>0.05). There were no serious complications and deaths. Conclusion: Traumatic hepatic hemorrhage along the needle puncture tract is a common accompanying condition during liver biopsy. Immediate postoperative color Doppler ultrasonography can trace bleeding signals in timely manner and direct effective compression hemostasis, so it should be used routinely to help avoid occurrence of severe hemorrhagic complications.
