引用本文:韦兰春,兰菲菲,廖羿霖,覃文艺.超声引导下肾自动活检术在基层医院的临床应用[J].中国临床新医学,2015,8(11):1074-1076.
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超声引导下肾自动活检术在基层医院的临床应用
韦兰春,兰菲菲,廖羿霖,覃文艺
547000 广西,河池市第三人民医院超声科
摘要:
[摘要] 目的 探讨超声引导下肾自动活检术在基层医院的临床应用及意义。方法 回顾性分析46例超声引导下应用自动活检枪和16G活检针取肾组织标本患者的临床资料,分析取材成功率及并发症发生情况。结果 本组46例患者,平均进针次数(2.56±0.5)次,取材成功率为100%,病理诊断率为100%。术后出现血尿46例(100.0%),肾周血肿5例(10.9%),肾窦出血、膀胱积血1例(2.2%)。结论 超声引导下肾自动活检术是一种取材成功率高、操作简便、严重并发症少及风险较小的组织学取材方法,值得在基层医院推广。
关键词:  超声引导  肾自动活检术  病理诊断  并发症
DOI:10.3969/j.issn.1674-3806.2015.11.21
分类号:R 446.8
基金项目:
The clinical application of ultrasound-guided automatic renal biopsy in primary hospital
WEI Lan-chun, LAN Fei-fei, LIAO Yi-lin, et al.
Department of Ultrasound, the Third People′s Hospital of Hechi City, Guangxi 547000, China
Abstract:
[Abstract] Objective To evaluate the application of ultrasound-guided percutaneous renal biopsy in a primary hospital and its clinical significances.Methods The kidney tissue specimens of 46 patients were taken using ultrasound-guided automatic biopsy gun and 16 G biopsy needle. The clinical data, successful rate of sampling and complications were analyzed.Results For 46 patients, the average times of puncture were (2.56±0.5), with a successful rate of sampling in 100% and a pathological diagnosis rate in 100%. The hematuria rate was 100.0%(46/46) after the operation. Perirenal hematoma rate was 10.9%(5/46) and renal sinus bleeding and/or bladder hemorrhage rate was 2.2%(1/46).Conclusion Ultrasound-guided automatic renal biopsy is a simple and safe method for kidney tissue sampling with a high successful rate, and less complications in the primary hospital.
Key words:  Ultrasound guidance  Renal biopsy  Pathological diagnosis  Complications