超声引导经皮肾活检中应用不同针径活检针的对比分析  

Comparative Analysis of Efficacy of Different Size Needle in Ultrasound-guided Percutaneous Renal Biopsy

作　　者：王玉玲[1] 李静怡[2] 黄涌泉[1] 贾宁[3] 林宇静[4] 郭辉[1] 

机构地区：[1]中山大学附属第五医院超声科,广东省珠海市519000 [2]珠海市人民医院超声科 [3]中山大学附属第五医院肾内科,广东省珠海市519000 [4]中山大学附属第五医院病理科,广东省珠海市519000

出　　处：《中国超声医学杂志》2014年第5期426-429,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨18 G和16 G活检针对超声引导下肾穿刺活检成功率及并发症的影响。方法回顾分析在我科室行超声引导经皮肾穿刺活检病患176例,其中包括术中采用18 G活检针37例,采用16 G活检针139例。对比分析不同穿刺针径与取材成功率及并发症的相关性。结果 18 G组与16 G组间比较结果显示,18 G组穿刺针数上大于16 G组(P<0.01),但取得肾小球数目却少于16 G组(P<0.01),16 G组取材结果更满意(P<0.05)。两组术后并发症发病率未见明显差异(P>0.05)。两组当穿刺次数>3时,其术后并发症发病率均明显增加(P<0.05)。结论于超声引导下行肾脏穿刺活检时,采用16 G活检针较18 G活检针更具有优势。Objective To compare the success rate and complication of using 18 G and 16 G needles in ultrasound-guided percutaneous renal biopsy.Methods 176 cases of percutaneous renal biopsy under ultrasound-guidance in our hospital from June 2009 to October 2013,including 37 cases using 18 G needles and 139 cases with 16 G needles,were analyzed retrospectively,and compared with the success rate of complication of different needles.Results Compared with 18 G needles,using 16 G needles provided more glomerulus （P＜0.01） and better specimens （P＜0.05）,with a lower frequency of puncture （P＜0.01）.There was no difference statistically in risk of complications between the two methods （P＞0.05）.Puncture exceeding 3 times would resulted to a higher risk of complications （P＜0.05）.Conclusions Compared with 18 G needles,16 G needles were more useful for ultrasound-guided percutaneous renal biopsy.

关 键 词：超声引导 经皮肾活检 活检针 

分 类 号：R445.1[医药卫生—影像医学与核医学] R692[医药卫生—诊断学]