探讨超声引导肾脏穿刺活检效果的影响因素  

Factors Contributing to the Success of Ultrasound-Guided Renal Biopsy

作　　者：张宇[1] 杨嘉嘉[1] 郭晶晶[1] 林礼务[1] Zhang Yu;Yang Jiajia;Guo Jingjing;Lin Liwu(Department of Ultrasound,Union Hospital of Fujian Mdical University,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属协和医院超声科,福州市350001

出　　处：《中国超声医学杂志》2022年第7期795-798,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨提高超声引导肾脏穿刺活检效果的相关因素。方法分析232例行肾脏穿刺活检患者,依据病理结果肾小球数量分为A组(145例,肾小球≥20个)、B组(73例,肾小球10~19个)和C组(14例,肾小球<10个),对比观察3组间临床和实验室资料、穿刺处的肾实质厚度、人均穿刺次数、穿刺路径与是否形成血肿等。结果A、B、C 3组间临床与实验室资料、穿刺处的肾实质厚度差别无统计学意义(P>0.05)。A组人均穿刺次数与经肾脏下部实质外1/3处穿刺比例显著高于B、C两组(P<0.05),但血肿发生率3组间比较无统计学意义(P>0.05)。结论超声引导于肾下部实质外1/3处穿刺是提高肾穿刺活检效果最有效且相对安全的穿刺路径,适当增加穿刺次数也是肾脏活检成功的另一重要因素。Objective To discuss the influencing factors to improve the effect of ultrasound-guided renal biopsy.Methods According to pathological results,the number of glomerulus was divided into group A(145 cases,≥20 glomerulus),group B(73 cases,10-19 glomerulus)and group C(14 cases,<10 glomerulus)in 232 patients with renal biopsy.Clinical and laboratory data,renal parenchymal thickness at puncture site,per capita puncture times,puncture route and hematoma formation were compared and observed among the 3 groups.Results There were no significant differences in clinical and laboratory data and renal parenchymal thickness among all groups(P>0.05).The number of puncture in the Group A was significantly more than the other groups,and the most punctures were in 1/3 of the lower cortex of the kidney(P<0.05),but there was no significant difference in hematoma between the 3 groups(P>0.05).Conclusions Ultrasound-guided biopsy at 1/3 of the lower renal parenchyma is the most effective and relatively safe puncture path to improve the effect of renal biopsy.Appropriately increasing the number of puncture is another important factor for the success of renal biopsy.

关 键 词：超声 肾活检 影响因素 

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]