摘要
目的探讨超声引导下经皮肾脏穿刺活检术在诊断慢性肾脏病变中的应用价值。方法对我院94例慢性肾病患者采用超声引导下经皮肾穿刺活检术,取得组织送病理检查;术后观察患者是否有腰痛、腰酸、血尿、肾包膜下血肿等症状,并于第1、2、3天对穿刺患者行彩色多普勒超声检查,观察是否有肾包膜下血肿;查看病理结果,分析超声引导下经皮穿刺肾活检术的成功率。结果 94例行超声引导下经皮肾穿刺活检术的患者均取材成功,取材长度从13~18 mm,根据取材长度穿刺1~3次。穿刺后对患者进行观察,94例患者中有45例患者自述有腰痛、腰酸症状,其中有12例患者有肾包膜下血肿;8例患者出现肉眼血尿,62例患者出现镜下血尿,余患者无明显不适症状。结论超声引导下肾脏穿刺活检术是一种安全有效的辅助检查方法,能提高穿刺的成功率,降低术后并发症,具有较重要的临床应用价值。
Objective To study the value of ultrasound-guided renal biopsy in the diagnosis of chronic kidney disease（ CKD）.Methods Ultrasound-guided renal biopsy was performed to 94 CKD patients. On the postoperative 1,2 and 3rd day,ultrasound examination was performed to detect whether there was a subcapsular hematoma. Then the success rate of ultrasound-guided renal biopsy was analyzed. Results Ultrasound-guided percutaneous renal biopsy was done successfully in all the 94 patients,with a mean length of 13-18 mm. After that,45 patients complained of back pain,12 of whom had subcapsular hematoma. And 8 patients had gross hematuria,while 30 ones had microscopic hematuria. Conclusion Ultrasound-guided renal biopsy is a safe and effective adjuvant screening method. It improves the success rate of puncturing,and reduces the occurrence of postoperative complications.It plays an important role in clinical practice.
出处
《临床军医杂志》
CAS
2015年第5期490-492,共3页
Clinical Journal of Medical Officers
