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Evaluation of Risk Factors for Bleeding After Ultrasound-Guided Liver Biopsy
International Journal of General Medicine ( IF 2.3 ) Pub Date : 2021-09-11 , DOI: 10.2147/ijgm.s328205 Haoyu Jing 1 , Zhanxiong Yi 1 , Enhui He 1 , Ruifang Xu 1 , Xianquan Shi 1 , Li Li 1 , Liying Sun 1 , Ying Liu 1 , Liang Zhang 1 , Linxue Qian 1
International Journal of General Medicine ( IF 2.3 ) Pub Date : 2021-09-11 , DOI: 10.2147/ijgm.s328205 Haoyu Jing 1 , Zhanxiong Yi 1 , Enhui He 1 , Ruifang Xu 1 , Xianquan Shi 1 , Li Li 1 , Liying Sun 1 , Ying Liu 1 , Liang Zhang 1 , Linxue Qian 1
Affiliation
Purpose: This study was performed to analyze the risk factors for hemorrhagic complications after ultrasound-guided liver biopsies.
Patients and Methods: In this retrospective study, we reviewed 1193 ultrasound-guided percutaneous liver biopsies performed in our hospital from January 2018 to December 2020. Relevant patient characteristics, indications for biopsy, laboratory findings, biopsy technique, hemorrhagic complications, and pathologic outcomes were collected.
Results: We analyzed 834 procedures performed on 807 patients with complete data. The bleeding group comprised 45 patients with post-procedure bleeding, and non-bleeding group comprising the remaining 789 patients. Univariate analysis showed that age (p < 0.001), number of needle passes (p = 0.009), platelet count (p = 0.002), prothrombin time (p < 0.001), and international normalized ratio (p < 0.001) were associated with post-procedure bleeding. Multivariable regression analysis showed that age under 18 years (p < 0.001), low platelet count (p = 0.001), and increased needle passes (p = 0.025) were independent risk factors for bleeding complications.
Conclusion: Sex and focal liver lesions did not affect the risk of post-procedure bleeding. The international normalized ratio and prothrombin time were associated with an increased incidence of bleeding; however, they had no predictive value. Age, number of needle passes, and platelet count were identified as reliable predictors of bleeding.
Keywords: ultrasound-guided, liver biopsy, bleeding, risk factor
中文翻译：
超声引导肝活检后出血危险因素的评估
目的：本研究旨在分析超声引导下肝活检后出血并发症的危险因素。
患者和方法：在这项回顾性研究中，我们回顾了 2018 年 1 月至 2020 年 12 月在我院进行的 1193 例超声引导下经皮肝活检。相关的患者特征、活检指征、实验室检查结果、活检技术、出血并发症和病理结果是集。
结果：我们分析了对 807 名患者进行的 834 次手术，数据完整。出血组包括 45 名术后出血患者，非出血组包括其余 789 名患者。单因素分析显示，年龄 ( p< 0.001)、穿刺次数 ( p = 0.009)、血小板计数 ( p = 0.002)、凝血酶原时间 ( p < 0.001) 和国际标准化比率 ( p < 0.001) 与术后出血相关。多变量回归分析显示，年龄小于 18 岁（p < 0.001）、血小板计数低（p = 0.001）和穿刺次数增加（p = 0.025）是出血并发症的独立危险因素。
结论：性别和肝局灶性病变不影响术后出血的风险。国际标准化比值和凝血酶原时间与出血发生率增加有关；但是，它们没有预测价值。年龄、进针次数和血小板计数被确定为出血的可靠预测指标。
关键词：超声引导，肝活检，出血，危险因素
更新日期：2021-09-12
Patients and Methods: In this retrospective study, we reviewed 1193 ultrasound-guided percutaneous liver biopsies performed in our hospital from January 2018 to December 2020. Relevant patient characteristics, indications for biopsy, laboratory findings, biopsy technique, hemorrhagic complications, and pathologic outcomes were collected.
Results: We analyzed 834 procedures performed on 807 patients with complete data. The bleeding group comprised 45 patients with post-procedure bleeding, and non-bleeding group comprising the remaining 789 patients. Univariate analysis showed that age (p < 0.001), number of needle passes (p = 0.009), platelet count (p = 0.002), prothrombin time (p < 0.001), and international normalized ratio (p < 0.001) were associated with post-procedure bleeding. Multivariable regression analysis showed that age under 18 years (p < 0.001), low platelet count (p = 0.001), and increased needle passes (p = 0.025) were independent risk factors for bleeding complications.
Conclusion: Sex and focal liver lesions did not affect the risk of post-procedure bleeding. The international normalized ratio and prothrombin time were associated with an increased incidence of bleeding; however, they had no predictive value. Age, number of needle passes, and platelet count were identified as reliable predictors of bleeding.
Keywords: ultrasound-guided, liver biopsy, bleeding, risk factor
中文翻译：
超声引导肝活检后出血危险因素的评估
目的：本研究旨在分析超声引导下肝活检后出血并发症的危险因素。
患者和方法：在这项回顾性研究中，我们回顾了 2018 年 1 月至 2020 年 12 月在我院进行的 1193 例超声引导下经皮肝活检。相关的患者特征、活检指征、实验室检查结果、活检技术、出血并发症和病理结果是集。
结果：我们分析了对 807 名患者进行的 834 次手术，数据完整。出血组包括 45 名术后出血患者，非出血组包括其余 789 名患者。单因素分析显示，年龄 ( p< 0.001)、穿刺次数 ( p = 0.009)、血小板计数 ( p = 0.002)、凝血酶原时间 ( p < 0.001) 和国际标准化比率 ( p < 0.001) 与术后出血相关。多变量回归分析显示，年龄小于 18 岁（p < 0.001）、血小板计数低（p = 0.001）和穿刺次数增加（p = 0.025）是出血并发症的独立危险因素。
结论：性别和肝局灶性病变不影响术后出血的风险。国际标准化比值和凝血酶原时间与出血发生率增加有关；但是，它们没有预测价值。年龄、进针次数和血小板计数被确定为出血的可靠预测指标。
关键词：超声引导，肝活检，出血，危险因素
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