摘要
【目的14g讨超声引导下肾活检所致出血并发症的相关因素，对出血原因进行分析，以减少并发症的发生。【方法】在超声引导下以美国Bard16G自动活检装置对520例肾脏病患者行肾穿刺活检，从肾实质厚度、肾穿刺次数、肾穿时血压水平、肾脏病理改变几方面进行分析。【结果】在520例肾穿活检中，肾实质厚度在0．80～1．5cm、肾穿刺次数〉3次、肾穿刺中血压≥140／90mmHg、硬化肾小球数占肾脏病变比例为50％～60％的病人出现出血并发症比例明显增高（P〈0．05）。【结论】肾穿刺活检引起出血并发症与肾实质厚度、肾穿刺次数、肾穿过程中血压水平及肾脏病变硬化程度明显相关。
[Objective]To explore the correlation factors of hemorrhage caused by renal biopsy guided by ultrasound and to analyze the causes of hemorrhage in order to decrease complications. [Methods] American Bard 16G automatic biopsy equipment was used to perform ultrasound-guided renal needle biopsy on 520 pa- tients with renal diseases. The renal parenchyma thickness, the number of kidney puncture, blood pressure at renopuncture and the renal pathological change were analyzed. [Results]In 520 renal biopsy, the renal paren- chyma thickness was 0.80~1.5 cm, and the number of kidney puncture was more than three times, and blood pressure was equal to or more than 140/90mmHg at renopuncture, and the incidence of hemorrhage was significantly increased（ P 〈0.05） in the patients with 50% ~60% sclerosis of total renal glomerulus. [Conclusion] The hemorrhage cause d by renal needle biopsy is significantly related with the renal parenchyma thickness, the number of kidney puncture, blood pressure level at renopuncture and the degree of sclerosis in renal lesions.
出处
《医学临床研究》
CAS
2011年第4期638-639,共2页
Journal of Clinical Research
