肝病常引起凝血功能障碍,传统的经体壁肝活组织穿刺检查应列为禁忌,但这些患者肝脏病理学检查又常属必要。经静脉途径的肝活组织检查技术是通过预先放置在导管内的穿刺针,穿过肝静脉壁,采取肝组织,因此,这一检查方法无引起出血的危险性。本文旨在介绍经肝静脉作肝活组织检查的经验,并认为对有明显凝血功能障碍的患者,如要获取肝活组织标本,是一种有效的检查方法。作者用本法共检查患者350例,均系因凝血功能障碍而经体壁肝穿刺术属禁忌的病例,其中343例肝活组织检查成功。抽取到的肝组织标本大小足能正确 Hepatic disorders often cause coagulopathy, and conventional transhepatic biopsy should be taboo, but liver pathology in these patients is often necessary. Transhepatic approach to liver biopsy involves inserting liver tissue through a pre-placed needle in the catheter through the hepatic vein wall, so this test does not involve the risk of bleeding. This article aims to introduce the hepatic vein for liver biopsy experience and that patients with significant coagulation disorders, such as access to liver biopsy specimens, is an effective method of examination. The authors examined 350 patients with this method, all due to coagulation disorders and body wall liver biopsy is a taboo cases, of which 343 cases of liver biopsy was successful. The size of the extracted liver tissue can be correct enough