经皮肾穿刺活检临床应用价值探讨  

Clinical value of renal biopsy

作　　者：沈良儒[1] 胡海燕[1] 张丽丽[1] 

机构地区：[1]江苏省泗洪县分金亭医院肾脏科,江苏泗洪223900

出　　处：《实用医院临床杂志》2007年第1期51-52,共2页Practical Journal of Clinical Medicine

摘　　要：目的探讨肾活检病理与临床诊断的关系及其价值。方法采用ToshibaNemi30彩色超声诊断仪，凸阵3．0—6．0MHz变频探头显示肾脏纵切和横切声象图定位于肾脏下级，采用活检枪经皮肾穿刺活检（PRB），穿刺重复两次，抽取两条肾组织标本送检。结果107例肾穿刺均成功，105例取材良好，22倒出现镜下血尿，均在1周内消失，无严重并发症；经肾活检病理诊断后，32例改变了治疗方案，修正率29．91％。结论肾活检手术并发症少且轻，病理诊断能指导临床治疗。Objective To explore the relationship between clinical diagnosis and renal pathology with renal biopsy and its clinical value. Methods Both color uhrasonography （Toshiba Nemi 30 ） and a converter probe （3.0-6.0 MHz） were positioned under the lower part of the kidney to provide a necessary sound image. The PRO-MAG biopsy system was used under the guidance of ultrasound. Kidney puncture was conducted twice to provide 2 specimens of renal tissues for examination. Results The renal biopsies were performed successfully in all the 107 patients. The quality of the specimen was good in 105 cases. Microscopic hematuria was found in 22 cases, but disappeared within one week. There were no serious complications in all the cases. We changed the treatment schemas for 32 cases after pathological examinations, with the revised rate reaching 29.91%. Conclusion Renal biopsy has a high success rate with a low and mild complication. Pathological diagnosis can contribute to appropriate clinical therapy.

关 键 词：肾穿刺 活检 并发症 价值 

分 类 号：R446.8[医药卫生—诊断学]