摘要
目的:对比不同超声引导下经皮肾活检方法的肾脏组织取材质量及患者并发症发生概率差异。方法:选取2016年1月—2020年5月我科肾活检患者共175例,随机分为纵切面穿刺架组62例、纵切面组58例、横切面组55例,三组患者术前准备一致,均使用同一超声设备、穿刺枪、穿刺针,分析三组患者在穿刺针数、操作时间、取材质量、出血指标等方面的差异。结果:纳入研究的患者,年龄、性别、肌酐,肾长度及实质厚度等差异无统计学意义(P>0.05),横切面组较纵切面组操作时间少,较纵切面穿刺架组小球数多,且术后血红蛋白减少程度低,差异有统计学意义(P<0.05)。结论:超声引导下经皮肾横轴切面穿刺法,操作时间短,组织取材良好,出血并发症少,适合临床采用。
Objective To compare the quality of renal tissue samples and the probability of complications of different ultrasoundguided percutaneous renal biopsy methods.Methods 175 patients with renal biopsy from January 2016 to may 2020,175 patients with renal biopsy in our department were selected from our department,who were randomly divided into group longitudinal section puncture frame 62 cases,group longitudinal section 58 cases,and group transverse section 55 cases.The preparation of the three groups was the same before operation,and the same ultrasound equipment,puncture gun,puncture needle were used to analyze the differences in the number of puncture needles,operation time,material quality,bleeding index of the three groups.Results There was no significant difference in age,gender,creatinine,kidney length and parenchyma thickness among the patients included in the study(P﹥0.05).Group transverse section had less operation time than group longitudinal section,more glomerulus and lower hemoglobin reduction after operation than group longitudinal section puncture frame(P﹤0.05).Conclusion Ultrasound-guided percutaneous renal crosssectional puncture is suitable for clinical use because of its short operation time,good tissue sampling and less risk of bleeding.
作者
刘承玄
李凡
欧阳晓琴
刘洪
刘可
Liu Chengxuan;Li Fan;Ouyang Xiaoqin;Liu Hong;Liu Ke(Chongqing Hospital of Traditional Chinese Medicine,Zheng Xin Chinese Medicine Master Inheritance Studio of Chongqing Academy of Traditional Chinese Medicine,Chongqing 400021,China)
出处
《影像研究与医学应用》
2021年第17期17-19,22,共4页
Journal of Imaging Research and Medical Applications
基金
重庆市科研机构绩效激励引导专项(cstc2018jxjl130023)
重庆市科卫联合中医药项目(2019ZY3130)。
关键词
超声引导
肾活检
取材质量
并发症
Ultrasound guidance
Renal biopsy
Sampling quality
Complications
