文摘

肝脏部分胃肠病学的英国社会,皇家医师学院的研究单位合作建立一个全国性的审计调查的实践经皮肝脏穿刺活检在英格兰和威尔士。在英格兰和威尔士每189年卫生区,提供一系列连续10经皮活检在1991年执行,和人口数据的细节,适应症,疑似诊断,调查,活检技术,收集结果和影响病人管理。数据检索1500年(79%)。活检的年龄分布显示,6%在80岁以上,尽可能多的超过90名10岁以下。疑似恶性肿瘤和慢性肝病每个贡献了三分之一的迹象。在34%的过程是由放射科医生在超声图像的控制下。其余部分是由普通医生和肠胃科,第二组与运营商更高级和有经验的。Trucut活检针占三分之二的活检,其余Menghini类型。两针样本记录为优秀或满意的83%,只有不足5%。出血复杂26程序(1.7%),在11日需要输血,平民当凝血障碍或血清胆红素。 There were two definite and three possible procedure related, given an overall mortality of 0.13-0.33%. The diagnosis made before biopsy was confirmed in 63% of patients, and the clinician found the biopsy helpful in treatment in 75%. Day case biopsy and techniques to reduce the risk of bleeding were surprisingly rare in this series, which has given a unique opportunity to examine everyday practice across a wide range of hospitals.