明胶海绵颗粒封堵同轴针道技术在超声引导下经皮肝占位穿刺活检的安全性和有效性研究

    Study on the safety and efficacy of gelatin sponge particle blocking coaxial needle tract technique in ultrasound-guided percutaneous liver space-occupying biopsy

    • 摘要:
      目的: 探讨明胶海绵颗粒封堵同轴针道技术在超声引导下经皮肝占位穿刺活检的安全性和有效性。
      方法: 回顾性分析100例接受超声引导下肝占位穿刺活检的病人,活检后均以明胶海绵颗粒封堵同轴针道止血,并记录穿刺时间、调针次数、穿刺深度以及出血、局部疼痛、过敏反应、感染、肺栓塞等相关并发症。
      结果: 100例病人经明胶海绵颗粒封堵穿刺道后,均无明显出血,封堵成功率100%;穿刺时间平均(8.2 ± 2.7)min,调针次数平均(1.0 ± 0.7)次,穿刺深度平均(4.3 ± 1.0)cm;完成穿刺活检后,所有病人均无过敏性反应、感染、肺栓塞,仅6例局部轻微疼痛。
      结论: 明胶海绵颗粒封堵同轴针道技术具有较好的止血效果,且操作简便易行、安全性较高。

       

      Abstract:
      Objective To explore the safety and efficacy of gelatin sponge particle blocking coaxial needle tract technique in ultrasound-guided percutaneous biopsy of liver space-occupying lesions.
      Methods A retrospective analysis was conducted on 100 patients who underwent ultrasound-guided puncture biopsy of liver space-occupying lesions. After biopsy, the coaxial needle tract was blocked with gelatin sponge particles for hemostasis. The puncture time, number of needle adjustments, puncture depth and related complications, such as bleeding, local pain, allergic reactions, infections and pulmonary embolism were recorded.
      Results After the puncture tracts of 100 patients were blocked with gelatin sponge particles, there was no obvious bleeding in all of them, and the success rate of blocking was 100%. The average puncture time was (8.2 ± 2.7) minutes, the average number of needle adjustments was (1.0 ± 0.7) times, and the average puncture depth was (4.3 ± 1.0) cm. After the puncture biopsy was completed, none of the patients had allergic reactions, infections or pulmonary embolism. Only 6 cases had mild local pain.
      Conclusions The technique of blocking coaxial needle channels with gelatin sponge particles has a good hemostatic effect, and it is simple and easy to operate with high safety.

       

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