Indications thiab contraindications rau daim siab biopsy

Cov lus qhia

Lub siab biopsy, ua ke nrog keeb kwm kev kho mob thiab cov ntaub ntawv kuaj lub cev, yog cov cuab yeej kho mob zoo rau kev kuaj mob thiab kho cov kab mob siab. Nyob ntawm cov lus nug hauv chaw kho mob, cov lus qhia kom tau txais cov qauv kuaj biopsy yog raws li hauv qab no:

1. Cov txiaj ntsig ntawm kev kuaj lub siab tsis zoo;

2. Paub qhov kev kuaj mob thiab kev kwv yees;

3. Xav tias lub siab mob;

4. Kev kuaj mob cholestatic daim siab;

5. Kev ntsuam xyuas ntawm tus kab mob invasive lossis granulomatous;

6. Kev ntsuam xyuas thiab tswj kev tsis lees paub tom qab hloov daim siab;

7. Txheeb xyuas qhov tsis tau piav qhia jaundice lossis cov tshuaj tsis haum tshuaj.

Cov qauv biopsy tuaj yeem siv los txheeb xyuas lossis txiav txim tawm qhov ua rau ntawm lub cev lossis kev kuaj mob txawv txav. Cov kab mob sib txawv tuaj yeem nthuav tawm tib lub xeev thiab cov qauv kuaj mob histological tuaj yeem siv rau hauv cov ntsiab lus ntawm kev nthuav qhia kho mob. Piv txwv li, fatty infiltration ntawm daim siab parenchyma tej zaum yuav muaj nyob rau hauv cov kab mob vim haus dej cawv, kab mob siab C, ntshav qab zib, rog, thiab lwm yam. Rau txhua lub xeev cov kab mob, histological clues yuav txawv lawv.

Lwm qhov kev siv ntawm daim siab biopsy yog los txiav txim seb qhov twg ntawm cov kev hloov histological hauv cov qauv biopsy. Qhov no suav nrog cov qhab nia rau qib ntawm o thiab fibrosis hauv daim siab raws li tau hais los ntawm tus kws kho mob. Feem ntau cov qhab-nees qhia txog qib kev mob uas siv cov qib thiab fibrosis siv staging. Piv txwv li, mob me me (qib 3) piv rau cirrhosis (theem 4).

Ib qhov xwm txheej thib peb yog saib xyuas kev kis kab mob lossis kev kho mob. Piv txwv li, daim siab biopsy feem ntau siv los ntsuas thiab kho qhov tsis lees paub tom qab hloov daim siab. Kev rov ua biopsies tsawg dua yog siv los saib xyuas kev kis tus kab mob, xws li thawj kab mob cirrhosis, kab mob siab C ntev, lossis kab mob siab cawv.

Contraindications

Contraindications rau daim siab biopsy yog raws li nram no:

1. Prothrombin time (PT) prolonged, international normalized ratio (INR) > 1.6;

2. Thrombocytopenia, platelet suav<60,000>

3. Ascites (nyiam dua ntawm cov hlab ntsha jugular);

4. Nyuaj lub cev (xws li ntawm cov hlab ntsha jugular);

5. Xav tias hemangioma;

6. Xav tias muaj kab mob hydatid;

7. Cov neeg mob tsis koom tes.

Yog tias koj muaj lus nug, thov hu rau peb. Peb lub tuam txhab tuaj yeem tsim ntau yam koob txhaj tshuaj, koob tshuaj kho mob, koob txhaj tshuaj, koob tshuaj hypodermic, koob txhaj tshuaj, koob tshuaj tiv thaiv kab mob, koob txhaj tshuaj, koob txhaj tshuaj, koob tshuaj tua tsiaj, koob xaum koob, koob ovum khaws koob, koob txhaj tshuaj, thiab lwm yam Yog tias koj xav tau kev kho. koob cov khoom, thov hu rau peb. Peb tos ntsoov rau koj qhov kev nug! Qhov zoo ntawm cov khoom tsim nyob rau hauv peb lub Hoobkas yuav txaus siab rau koj!

Thov hu rau peb yog tias koj xav tau: zhang@sz-manners.com