MSCT三维重建引导下经皮肾活检对肾脏疾病的诊断价值  

Diagnosis value of MSCT_(3) D reconstruction guided percutaneous renal biopsy on renal diseases

作　　者：龚博 白汉林 贾楷桥 马丽[3] 张雪瑞 刘士梅 GONG Bo;BAI Hanlin;JIA Kaiqiao;MA Li;ZHANG Xuerui;LIU Shimei(Department of Medical Imaging,Henan Second People's Hospital,Zhengzhou,Henan 451191,China)

机构地区：[1]河南省第二人民医院医学影像科,河南郑州451191 [2]河南省直第三人民医院肝胆外科,河南郑州450000 [3]解放军总医院京南医疗区医学影像科,北京100089

出　　处：《淮海医药》2023年第2期120-123,127,共5页Journal of Huaihai Medicine

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20190846)。

摘　　要：目的:探讨多层螺旋CT(MSCT)三维重建引导下经皮肾活检诊断肾脏疾病的价值。方法:回顾性分析2019年1月—2022年2月某院MSCT三维重建引导下经皮肾活检术112例患者的资料(研究组),另采用倾向性评分匹配选择该院相同时段常规CT引导下经皮肾活检术98例患者的临床资料(对照组)。查看2组病理检查结果,分析MSCT三维重建和常规CT引导下经皮肾活检术的穿刺成功率、一次穿刺成功率、二次穿刺成功率、取材合格率、病理诊断结果的准确性及术后并发症发生情况。结果:2组穿刺成功率均为100.00%,但研究组一次穿刺成功率(95.54%)高于对照组(86.73%)(P<0.05);2组病理诊断结果与最终临床诊断结果比较,MSCT三维重建和常规CT引导下的经皮肾活检对肾脏疾病患者诊断的准确率均为100.00%,2组诊断准确率比较差异无统计学意义(P>0.05);研究组取材合格率(100.00%)与对照组(97.96%)比较,差异无统计学意义(P>0.05);研究组并发症发生率(7.14%)低于对照组(38.78%),差异有统计学意义(P<0.05)。结论:MSCT三维重建引导下经皮肾活检是一种安全、有效的诊断肾脏疾病的辅助检查方法,一次穿刺成功率较高,术后并发症少,具有重要的临床应用价值。Objective:To investigate the value of percutaneous renal biopsy undeRthe guidance of three-dimensional reconstruction of multi-slice spiral CT(MSCT)in the diagnosis of kidney disease.Methods:Data of 112 patients who underwent MSCT_(3)D reconstruction guided percutaneous renal biopsy(study group)in a hospital from January 2019 to February 2022 were retrospectively analyzed.In addition,clinical data of 98 patients who underwent conventional CT guided percutaneous renal biopsy(control group)during the same period in the hospital were selected by propensity score matching.The tissues obtained from all the patients were sent foRpathological examination.The examination results of the two groups were compared,and the success rate of puncture in the percutaneous renal biopsy,success rate of the primary puncture,success rate of the secondary puncture,sampling qualification rate,the accuracy of the pathological diagnosis results and postoperative complications of MSCT_(3)D reconstruction guided percutaneous renal biopsy and conventional CT guided percutaneous renal biopsy were analyzed.Results:The success rates of puncture in the two groups were both 100.00%,but the success rate of primary puncture in the study group(95.54%)was higheRthan that in the control group(86.73%)(P<0.05).Compared with the final clinical diagnosis results,the diagnostic accuracy of percutaneous renal biopsy of the two groups were both 100.00%,and there was no significant difference in the diagnostic accuracy between the two groups(P>0.05).There was no significant difference between the qualified rate of the study group(100.00%)and the control group(97.96%)(P>0.05).The incidence of complications in the study group(7.14%)was loweRthan that in the control group(38.78%)(P<0.05).Conclusion:MSCT_(3)D reconstruction guided percutaneous renal biopsy is a safe and effective auxiliary examination method foRthe diagnosis of renal diseases,and it has less postoperative complications and higheRsuccess rate of primary puncture,which has important clinical applic

关 键 词：肾疾病 多层螺旋CT三维重建 活检术 

分 类 号：R692[医药卫生—泌尿科学]