儿童超声引导下经皮肾活检术后并发症的原因分析  

Causes of the complications of ultrasound-guided percutaneous renal biopsy in children

作　　者：陈龙兰[1] 杨斌[1] 魏淑萍[1] 傅宁华[1] 魏穷[1] 黄鹏飞[1] 徐超丽[1] 李明霞[1] 

机构地区：[1]南京大学医学院附属金陵医院(南京军区南京总医院)超声诊断科,南京210002

出　　处：《医学研究生学报》2014年第7期706-709,共4页Journal of Medical Postgraduates

基　　金：国家自然科学基金(81271592)

摘　　要：目的超声引导下经皮肾活检术已成为儿童肾病诊断、治疗与判断预后重要的工具。文中探讨儿童在超声引导下经皮肾活检后发生并发症的原因。方法回顾性分析236例肾病患儿在超声引导下经皮肾活检后发生并发症的情况,包括性别、年龄、肾组织取材长度、穿刺次数、病种等因素,通过多因素回归性分析建立二分类Logistic回归分析,评价各因素在儿童超声引导下经皮肾活检术后并发症中的影响。结果 236例患儿肾活检术后共有22例出现肉眼血尿、疼痛等并发症(9.3%),未发生严重并发症,并发症的发生与肾组织取材长度有关(OR=1.566,P=0.005),而与儿童年龄、性别、穿刺次数、病种无明显相关性(P>0.05)。结论儿童超声引导下经皮肾穿刺活检术是一种成功率高、并发症少的方法,提高穿刺技术及超声定位的准确性,有助于减少并发症的发生。Objective This study was to analyze the causes of the complications of ultrasound -guided percutaneous renal bi-opsy in children . Methods We retrospectively analyzed the complications of ultrasound-guided percutaneous renal biopsy in 236 children along with the age, sex, sample length, times of puncture, and types of disease of the patients .We used the binary Logistic regression model to analyze the influences of various factors on the post -biopsy complications . Results After renal biopsy , 22 （9.3%） of the patients experienced various degrees of but no severe complications .The incidence of complications was significantly correlated with the sample length （P〈0.05）, but not with the age, sex, sample length, times of puncture, and types of disease of the patients. Conclusion Ultrasound-guided percutaneous renal biopsy is an effective diagnostic method for children , with a high suc-cess rate and a low incidence of complications .And the incidence of complications can be reduced by improving the skills of puncturing and accuracy of ultrasound positioning .

关 键 词：超声引导 经皮肾活检 并发症 儿童 

分 类 号：R726.9[医药卫生—儿科]