超声引导下经皮肾穿刺活检术后出现肾包膜下血肿的影响因素  

Influencing Factors of Renal Subcapsular Hematoma after Ultrasound-Guided Percutaneous Renal Biopsy

作　　者：周玉堂 杨宗瑜 刘鸿基 Zhou Yutang;Yang Zongyu;Liu Hongji(People's Hospital of Qiandongnan Prefecture,Guizhou Province,Kaili 556000,Guizhou Province,China)

机构地区：[1]贵州省黔东南州人民医院,贵州凯里556000

出　　处：《中外医药研究》2023年第7期45-47,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:研究在超声引导下经皮肾穿刺活检术后出现肾包膜下血肿的危险因素。方法:回顾性分析2020年7月—2022年7月于黔东南州人民医院行超声下经皮肾活检顺利穿刺的患者214例的临床资料,统计患者一般情况,分析肾小球硬化比例对肾包膜下血肿的影响、间质小管改变与肾包膜下血肿形成的关系、临床诊断与肾包膜下血肿形成及超声引导下肾活检类型与肾包膜下血肿的关系。结果:肾小球硬化比例≥50%患者肾包膜下血肿发生率高于肾小球硬化比例<50%患者,差异有统计学意义(P=0.019);轻度肾包膜下血肿发生率与中度比较,差异无统计学意义(P>0.05);轻度肾包膜下血肿发生率与重度比较,差异无统计学意义(P>0.05);中度肾包膜下血肿发生率与重度比较,差异无统计学意义(P>0.05)。结论:肾小球硬化比例≥50%患者肾包膜下血肿发生率更高,肾小球硬化比例≥50%为出现肾包膜下血肿的可能因素。Objective:To study the risk factors of renal subcapsular hematoma after ultrasound-guided percutaneous renal biopsy.Methods:From July 2020 to July 2022,the clinical data of two hundred and fourteen patients who underwent ultrasonic percutaneous renal biopsy in People's Hospital of Qiandongnan Prefecture were retrospectively analyzed.The general situation of the patients was collected,and the influence of the proportion of glomerulosclerosis on the renal subcapsular hematoma,the relationship between the change of the interstitial tubules and the formation of therenal subcapsular hematoma,the relationship between clinical diagnosis and renal subcapsular hematoma formation and ultrasound-guided renal biopsy types and renal subcapsular hematoma were analyzed.Results:The incidence of subcapsular hematoma in patients with glomerulosclerosis greater than or equal to 50% was higher than that in patients with glomerulosclerosis less than 50%,and the difference was statistically significant(P=0.019).There was no significant difference in the incidence of mild subcapsular hematoma compared with moderate(P>0.05).There was no significant difference in the incidence of mild subcapsular hematoma compared with severe one(P>0.05).There was no significant difference in the incidence of moderate and severe renal subcapsular hematoma(P>0.05).Conclusion:The incidence of renal subcapsular hematoma is higher in patients with glomerulosclerosis ratio greater than or equal to 50%,and the glomerulosclerosis ratio greater than or equal to 50% is a possible factor for the occurrence of renal subcapsular hematoma.

关 键 词：超声 经皮肾穿刺活检 肾包膜 血肿 影响因素 血尿 

分 类 号：R73[医药卫生—肿瘤]