超声引导下经皮肾活检97例分析  

Analysis of 97 cases on ultrasound-guided renal biopsy

作　　者：高怡[1] 喻智[1] 熊锐华[1] 刘春龙[1] 申雪萍[1] 

机构地区：[1]广西桂林解放军181医院B超室

出　　处：《临床超声医学杂志》2006年第10期602-604,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的探讨超声引导自动肾活检术的临床应用价值和安全性。方法对97例肾活检患者,在超声引导下应用自动活检枪和16GBiopsy活检针,选择右肾下极肾实质最厚处行斜角穿刺活检术;部分标本远程邮寄病理检查。结果平均进针次数(2.46±0.3)次;取材成功率100%,病理诊断率100%,术后镜下血尿45.4%,肾周血肿1%,不良反应1%。结论自动肾活检技术是一种高效、可靠、安全的微创检查方法,精确定位是肾活检成功的关键所在。Objective To analyze the clinical value and safety of ultrasound - guided renal biopsy. Methods In 97 cases, an 16G cut needle with automatic biopsy gun was inserted the inferior pole of right kidney through an oblique angle puncture. The part of renopuncture tissues was sent by the mail - boxes to the remote pathologic service. Results Ninety - seven cases with a average puncture of 2.46 ± 0.3 times/case. The successful biopsy rate of puncture, the pathological diagnosis rate, microscopic hemuyesis, renal hematoma, and some kind of complications were 100 %, 100 %, 45.4 %, 1%, and 1% respectively. Conclusion Ultrasound - guided rehal biopsy was an microinvasive method because of its high efficiency, relialility and security. Accurate localization by ultrasound - guidance, is the key paint to be successful.

关 键 词：超声引导 肾活检 并发症 病理检查 

分 类 号：R692[医药卫生—泌尿科学]