›› 2017, Vol. 2 ›› Issue (4): 69-71.

• 临床医学 • 上一篇    下一篇

超声引导下经皮肾穿刺活检术的临床应用价值分析

  

  1. (大理大学第一附属医院超声科,云南大理671000)
  • 收稿日期:2016-08-26 出版日期:2017-04-15 发布日期:2017-04-15
  • 作者简介:宋瑜,硕士研究生,主要从事心血管超声与介入研究.

Clinical Application Analysis of Percutaneous Renal Biopsy Guided by Ultrasound

  1. (Department of Ultrasound, The First Affiliated Hospital of Dali University, Dali, Yunnan 671000, China)
  • Received:2016-08-26 Online:2017-04-15 Published:2017-04-15

摘要:

目的:探讨超声引导下经皮肾活检穿刺术的临床应用价值。方法:回顾性分析2012年4月至2016年6月182例行超声
引导下经皮肾活检术患者的病历资料,归纳分析其取材成功率、并发症发病率、病理类型的分布及临床诊断的修正情况。结
果:穿刺取材成功率为100%,术后轻度并发症发病率为6.6%,无严重并发症发生。术后原诊断的修正率为22.53%。根据术后
统计得出,原发性肾小球疾病发病率高于继发性肾小球疾病,原发性肾小球疾病中IgA肾病发病率最高,占45.62%。继发性肾
小球疾病中,狼疮性肾炎发病率最高,占36.45%。结论:经皮肾穿刺活检是一种安全有效的肾病辅助诊断方法,穿刺点选择左
肾或右肾结果相同,且左肾穿刺与右肾穿刺术后并发症的发病率无差异。原发性肾小球疾病发病率最高,其中以IgA肾病最
常见,男性患肾病的概率高于女性。

关键词: 超声引导, 经皮肾活检, 并发症, 病理诊断

Abstract:

Objective: To explore the clinical application value of percutaneous renal biopsy guided by ultrasound. Methods:
Retrospective analysis was done among 182 cases of percutaneous renal biopsy guided by ultrasound from April 2012 to June 2012. Its
success rate, complication rate, pathological types of distribution and clinical diagnosis of correction were analyzed as well. Results:
Materials of puncture success rate was 100%, mild postoperative complication rate was 6.6%, no serious complications occurred. The
original diagnosis of postoperative correction rate was 22.53%. According to the statistics, postoperative primary glomerular disease
incidence rate was higher than secondary glomerular disease. IgA nephropathy in primary glomerular disease had the highest
incidence, accounting for 45.62%, followed by lupus nephritis, accounting for 36.45%. Conclusion: Percutaneous renal biopsy is a
safe and effective nephropathy auxiliary diagnosis methods. Pricking the left or the right kidney reached the same result, and the
incidence of complications of right and left renal biopsy had no difference. Incidence rate of primary glomerular disease is the highest,
among which IgA nephropathy is the most common one. And the probability of men suffering from kidney disease is higher than women.

Key words: ultrasound-guided, percutaneous renal biopsy, complications, pathological diagnosis

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