肝脏穿刺活检湘雅专家共识

Xiangya expert consensus on liver needle biopsy

摘要:

肝脏穿刺活检作为一种肝脏疾病诊断措施在肝脏外科、移植科、感染科、消化科等临床科室应用由来已久。由于其通常在B超或CT引导下选择安全路径穿刺完成，大多数情况下它是安全的，术后大出血或胆汁漏的发生率并不高。但是，临床上也有因肝脏穿刺活检导致死亡的报道，需要引起临床医生高度重视。目前国内尚无肝脏穿刺活检的规范、指南或专家共识。因此，中南大学湘雅医院医务部和肝脏外科联合本院肝病科、超声影像科、介入科和病理科专家共同制定了本专家共识，旨在为临床肝脏穿刺活检提供参考。

Abstract:

Liver needle biopsy has been used for a long time as a diagnostic measure for liver disease in several clinical departments such as liver surgery, liver transplantation, infectious disease, and digestive disease. Because it is usually performed by selecting a safe puncture route under the guidance of B-ultrasound or CT, it is safe and its incidence of postoperative massive hemorrhage or bile leakage is not high in most cases. However, there have been clinical reports of death due to liver needle biopsy, and this raised a great concern by clinicians. At present, there are no standards, guidelines or expert consensus on liver needle biopsy in China. Therefore, this expert consensus statement was developed through the organization by the Department of Medical Affairs and Department of Liver Surgery of Xiangya Hospital, Central South University in collaboration with the experts in own hospital from the Department of Hepatopathy, Ultrasound, Interventional Radiology and Pathology, so as to provide a reference for  performing liver needle biopsy in clinical practice.