肾活检术不同取材方法的效果比较  

The application study of one-time sampling in renal biopsy device under ultrasound-guided through an obilque angle in the case of normal probe collocations support

作　　者：吴杰[1] 王高兴[1] 黄龙[1] 廖婷婷[1] 秦雁熊 韦美菊 Wu Jie;Wang Gaoxing;Huang Long;Liao Tingting;Qin Yanxiong;Wei Meiju(The First Affiliated Hospital of Guangxi University of Science and Technology,Liuzhou,Guangxi 545002,China)

机构地区：[1]广西科技大学第一附属医院,广西柳州545002

出　　处：《医药前沿》2020年第14期19-20,共2页Journal of Frontiers of Medicine

基　　金：普通探头配支架超声引导下斜角进针肾活检术一次取材法的应用研究合同编号:Z20170099。

摘　　要：目的:探讨普通探头配支架超声引导下斜角进针肾活检术一次取材法的应用效果。方法:选择2017年1月—2019年9月行肾活检穿刺术患者150例,随机分为斜角进针肾活检术一次取材法组(A组)、斜角进针肾活检术两次取材法组(B组)和直角进针肾活检术两次取材法组(C组),每组50例。三组均在普通探头配支架超声引导下进行。比较三组取材情况及并发症发生情况。结果:三组穿刺成功率、标本合格率无显著差异,A组平均穿刺次数显著少于B组及C组(P<0.05);A组单次平均取材长度显著优于B、C组(P<0.05);B组所取标准肾小球个数显著优于A、C组,C组肾小球个数偏多(P<0.05);A组的腰痛、肾周血肿、肉眼血尿等并发症的总发生率显著低于B组、C组,但差异无统计学意义(P>0.05)。结论:斜角进针肾活检术一次取材法与斜角进针肾活检术两次取材法及直角进针肾活检术两次取材法比较,总体穿刺成功率、标本合格率无显著差异,但穿刺次数少,并发症少;因此斜角进针肾活检术一次取材法取材良好,穿刺次数少,斜行刺入肾脏偏深亦不易伤及血管,值得应用。Objective To investigate the effect of one-time sampling method of oblique needle renal biopsy guided by ultrasound with probe and stent.Methods 150 patients undergoing renal biopsy from January 2017 to September 2019 were selected and randomly divided into one biopsy sampling group(group A),two biopsy sampling group(group B)and two biopsy sampling group(group C)with 50 patients in each group.All three groups were conducted under the guidance of ultrasound with ordinary probe and stent.The sampling and complications of the three groups were compared.Results There was no significant difference in the success rate of puncture and the qualified rate of specimen among the three groups.The average number of puncture in group A was significantly lower than that in group B and C(P<0.05).The average sampling length in group A was significantly better than that in group B and C(P<0.05).The number of standard glomeruli in group B was significantly better than that in group A and C,while the number of standard glomeruli in group C was higher(P<0.05).The total incidence of lumbago,perirenal hematoma,gross hematuria and other complications in group A was significantly lower than that in group B and C,but the difference was not statistically significant(P>0.05).Conclusion Compared with two sampling methods of oblique needle aspiration and two sampling methods of orthogonal needle aspiration,there was no significant difference in the overall success rate of puncture and the qualified rate of specimen,but there were fewer puncture times and fewer complications.Therefore,oblique needle renal biopsy is a good method with fewer puncture times and deep oblique needle renal biopsy is not easy to hurt blood vessels,which is worthy of application.

关 键 词：普通探头配支架 超声引导 斜角进针 直角进针 肾活检术 

分 类 号：R445[医药卫生—影像医学与核医学]