摘要
目的探讨计划经皮肾穿刺活检术患者取消穿刺的原因。方法选取2014年10月至2017年11月四川大学华西医院肾脏内科收治并计划经皮肾穿刺活检术的598例患者,收集患者的临床资料并分析其取消肾穿刺计划的原因。结果共调查3 547例患者,其中取消肾穿刺患者598例(16. 86%),取消肾穿刺的原因包括血压高(≥140/90 mm Hg) 307例(43. 79%)、肾脏慢性化改变193例(27. 53%)、肾脏局部结构病变49例(6. 99%)、凝血功能异常36例(5. 14%)、患者不能配合29例(4. 14%)、月经期19例(2. 71%)、血红蛋白浓度降低(<80 g/L) 13例(1. 85%)、检查结果不完善13例(1. 85%)、高热8例(1. 14%)、肾脏位置过高5例(0. 71%)、尿路感染5例(0. 71%)和其他因素24例(3. 42%)。其中计划肾穿刺2次后成功的人数226人(37. 79%),计划肾穿刺3次后成功的人数13人(2. 17%),计划肾穿刺> 3次后成功的人数3人(0. 50%)。结论拟行经皮肾穿刺计划的患者取消原因以术前血压高、肾脏慢性化改变、肾脏局部结构病变、凝血功能异常、病人不能配合、月经期等为主,部分为临床可控因素。
Objective To discuss the reasons for canceling puncture in patients undergoing percutaneous renal biopsy. Methods A total of 598 patients who underwent percutaneous renal biopsy in a top-three hospital in Sichuan province from Oct 2014 to Nov 2017 were investigated. The clinical data were collected and the reasons for canceling puncture were analyzed. Results A total of 3547 patients were investigated, of whom 598 (16.86%) patients canceled percutaneous renal biopsy. The reasons for canceling renal biopsy included high blood pressure(≥140/90 mmHg) in 307 cases (43.79%), chronic renal changes in 193 (27.53%), and local renal lesions in 49 ( 6.99 ), coagulation dysfunction in 36 (5.14%), poor cooperation in 29 (4.14%), menstrual periods in 19 (2.71%), and low hemoglobin in 13 (1.85%)(<80 g/L), incomplete results in 13 (1.85%), high fever in 8 (1.14%), high kidney position in 5 (0.71%), urinary tract infection in 5 (0.71%), and 24 cases with other reasons (3.42%). Of these, 226 patients were planned to have succeeded after two consecutive renal punctures, 13 patients after undergoing renal puncture three times, and 3 patients after three or more kidney punctures. Conclusions The major reasons for the cancellation of percutaneous renal puncture are preoperative high blood pressure, chronic renal changes, local renal structural lesions, abnormal coagulation function, incompatibility of patients, menstrual period, some of which are clinically controllable factors.
作者
刘敏
王芳
袁丽
于洋
刁永书
马登艳
LIU Min;WANG Fang;YUAN Li(Department of Nephrology, West China Hospital of Sichuan University, Chengdu 610041, China)
出处
《安徽医学》
2019年第4期423-426,共4页
Anhui Medical Journal
基金
四川省科技计划项目(项目编号:No.2014SZ0095)
关键词
肾穿刺活检
高血压
原因分析
Percutaneous renal biopsy
High blood pressure
Reason analysis
