摘要
本文结合自己的经验,介绍了Menghini法肝活检操作中的注意事项。肝穿针直径以1.4mm为宜;穿刺部位多选在左右腋前、中线第8肋间;穿刺针在肝外期应停在肋间肌和膈肌之间;进深一般不超过6cm;单人操作法成功率高,可取代双人操作法。最后介绍了有关肝穿成败的因素。
We introduce the manipulation of Menghini liver biopsy and our experiences in this technic. The 1.4 mm caliber neeble is advised. The site of puncture in usually chosen is the 8th intercostal space between the mid and anterior axillary line. In extrahepatic phase the needle is situated between the intercostal muscle and the diagram and the depth of needle must be limited within 6cm in intrahepatic phase. The single-man method can replace the double-man method as a result of higher success rate in the former. The factors of success and failure in liver biopsy are discussed.