The liver is punctured - -Directly accurate _'s prevention and health care of inspection method of hepatopathy

The liver is punctured - -Directly accurate _'s prevention and health care of inspection method of hepatopathy
Most patients go to the hospital to see hepatopathy, check activity intensity and severity of hepatitis, checking hepatitis B three is, liver function of getting used to drawing blood, do the liver Ultrasonography B, does not understand and puncture and gather the liver and organize the sample through the liver, check to judge the severity of hepatopathy pathology. It is that one kind observes the pathologic change that the liver organizes directly that intravital histology of the liver is checked, make the inspection method that hepatopathy and condition diagnose accurately, it is a generally acknowledged gold standard of clinical diagnosis, it diagnoses value is well-above blood biochemistry, image and learn to check, check and can't substitute.
It is to puncture the needle and obtain the very small liver of the human body to organize through the liver that the liver punctures the bioptic method, go on pathologic histology, check under the microscope. Is the liver punctured dangerously? Make some corresponding laboratory test, check before checking, for example checked the blood platelet, it is unusual if there is no blood coagulation function, can deserve the inspection. At present, liver it punctures to be " puncture law in one second " that go on until Ultrasonography B lead ,It with intravenous to fetch blood, have difference is safe and reliable, have nothing that is damaged to the patient. Then, why will hepatopathy patient make liver to puncture? What benefits does liver have on hepatopathy patient to puncture?
1.Define intensity and activity of liver pathological change
A lot of B-mode hepatitis viruses are infected with a patient, tests and finds transaminase unusual slightly, the virus content level of hepatitis B is not high. Puncture through the liver, can find whether patient of these chronic hepatopathy is in activity one, judge the weight intensity of its pathological change, guide using medicine of the doctor. If pathology is shown liver inflammation is obvious, should carry on the antiviral treatment.
2.It is early, resting or is still compensating liver cirrhosis of one to find
Liver cirrhosis is in early days, especially liver fiber, test through the blood, Ultrasonography B is generally difficult to find to check. Puncture, check through liver, can take to the intersection of liver and fiber with early resting compensating liver cirrhosis of issue, going on, diagnosing accurately still, and can distinguish the clinical type of liver cirrhosis and distinguish the fact it is alcohol liver cirrhosis, liver cirrhosis after hepatitis, whether with active hepatitis. For example, some diagnoses as the patient who has the person who carries virus of symptom, puncture and check through the liver, find that there is liver cirrhosis or chronic active hepatitis.
3.Help the choice of the medicine and curative effect of medicine to judge
Treat the front and back liver and live and examine and organize the pathologic change to be to judge the reliable index of the medicine therapeutic effect, offer the objective appraisal basis for clinical drug therapy. The commonly used medicine against hepatopathy and virus has interferon and Lammi waits definitely at present, employ interferon or Lammi the carries on the antiviral treatment definitely, not merely the course of treatment is long, and cost an arm and a leg. If can punctured the liver, organized the inflammatory activity intensity according to the liver before treating, there is the alternative and employ the antiviral medicine pointedly, will obviously improve curative effect.
4.Contribute to the differential diagnosis of many kinds of hepatopathy
A lot of clinical diagnosis more difficult chronic hepatopathy, such as the intersection of liver and tuberculosis, the intersection of liver and the intersection of granulation and swollen, liver tumour, the intersection of liver and abscess, one's own the intersection of immunity and hepatopathy and various supersession nature hepatopathy ' The liver lenticular nucleus changes the sex, glycogen of liver accumulates the disease, a kind of sex change of liver starch) Wait, need to puncture liver pathological change finding out about the patient through the liver, offer the decisive basis for diagnosing clearly.
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