Max-Core^(TM)自动活检枪在小儿肾穿刺中的应用  

Application of Max-Core^(TM) Automatic Renal Biopsy Apparatus in Pediatric Patients

作　　者：唐晋清[1] 邵越霞[1] 陈继莺[1] 姜保麟[1] 邢苏荣[2] 

机构地区：[1]同济大学附属同济医院儿科,上海200065 [2]同济大学附属同济医院医学影像科,上海200065

出　　处：《同济大学学报（医学版）》2003年第2期130-132,共3页Journal of Tongji University(Medical Science)

摘　　要：目的　探讨肾活检在小儿肾脏病诊断中的意义及Max CoreTM 活检枪在小儿肾穿刺中的应用。方法　在B超引导下用Max CoreTM 一次性活检枪行经皮肾活检术 ,标本分别做光镜、免疫荧光和电镜检查。结果　 6例肾小球疾病患儿均一次成功 ,其中轻微病变 1例 ,系膜增生 2例 ,膜性肾病 1例 ,局灶节段性硬化 1例 ,弥漫性基底膜变薄 1例。经肾活检纠正诊断 2例。 3例患儿术后出现了轻微并发症。结论　Max CoreTM自动活检枪操作简单、安全、成功率高 ,适用于儿科临床应用。Objective To evaluate renal biopsy in the diagnosis of kidney diseases and the application of Max-Core TM renal biopsy apparatus in pediatric patients.Methods Transcutaneous renal biopsy using Max-Core TM renal biopsy apparatus was performed under the guidance of real-time ultrasound.Samples obtained were sent for examination under light microscopy,immunofluorescence,and electronic microscopy.Results Six patients with glomerular diseases were successfully diagnosed with biopsy.Of them,1 was minor glomerular abnormalities,2 were mesangioproliferative glomerulonephritis,and the other 3 were membranous nephropathy,focal segmental glomerulosclerosis and thin basement membrane nephropathy,respectively.With biopsy,2 previous diagnoses were identified.Three of patients had minor complications.Conclusion Max-Core TM renal biopsy apparatus is easy to operate with safety and high rate of success.

关 键 词：Max-Core^TM自动活检枪 小儿 肾穿刺 应用 肾小球疾病 诊断 

分 类 号：R726.92[医药卫生—儿科]