169例超声引导下肾穿刺活检术临床分析  

Clinical analysis of 169 cases of nitrasound-gnided renal biopsy

作　　者：顾晓霞 郁丽霞 叶建明 Gu Xiaoxia, Yu Lixia, Ye Jianming.(Department of Nephrology, the First People~ Hospital of Kunshan City, Kunshan 215300, China)

机构地区：[1]昆山昆山市第一人民医院肾内科,江苏215300

出　　处：《国际泌尿系统杂志》2018年第5期788-791,共4页International Journal of Urology and Nephrology

摘　　要：目的 探讨B超定位实时引导下肾活检技术的临床应用价值及并发症发生率.方法 选取2013年1月至2017年7月本院采用超声引导下经皮肾穿刺活检术的169例患者作为研究对象,回顾性分析其临床资料、病理及术后并发症情况.结果 穿刺成功的167例肾活检患者中原发性肾小球疾病150例（89.8％）,继发性肾小球疾病17例（10.2％）,原发性肾疾病中以MN发病率最高,占35.3％,其次为IgAN,占34.1％,继发性肾病中狼疮性肾炎发病率最高,占3.6％.穿刺术后出现的并发症腰疼、＞2 cm肾周血肿、肉眼血尿并发症发生率分别为：58.0％、24.3％、2.4％.结论 超声引导下肾脏穿刺活检术穿刺成功率高,对肾病的诊治及预后判断具有重要意义,但也具有一定的风险,出现并发症要及时有效的处理. Objective To explore the clinical value and complication rate of ultrasoundguided renal biopsy.Methods From January 2013 to July 2017,169 cases of ultrasound-guided percutaneous renal biopsy were selected as the research objects,and the clinical data,pathological type and postoperative complications were analyzed retrospectively.Results One hundred and fifty cases of primary glomerular diseases （89.8%） and 17 cases of secondary glomerular diseases （10.2%） were found in 167 renal biopsy patients with successful puncture,the incidence of MN in primary renal disease was the highest,accounting for 35.3%,followed by IgAN,accounting for 34.1%,the incidence of lupus nephritis in secondary nephropathy was the highest,accounting for 3.6%.The postoperative complications of backache,〉 2 cm perirenal hematoma,hematuria,complication rates were：58.0%,24.3%,2.4%.Conclusions Ultrasound-guided renal biopsy has a high success rate,which is of great significance for the diagnosis,treatment and prognosis of kidney disease,but it also has certain risks,and the complications should be treated promptly and effectively.

关 键 词：肾疾病 活组织检查 针吸 

分 类 号：R692[医药卫生—泌尿科学]