摘要
目的:研究普通探头配支架超声引导下斜角进针肾活检术一次取材法的应用效果。方法:选取于医院拟行肾活检穿刺术的150例因各种原因导致的肾脏病变患者,以简单随机分组法将其分为斜角一次取材组、斜角两次取材组和直角两次取材组,每组50例。分析对比3组穿刺结果、取材长度和所获肾小球数目结果,以及并发症发生情况。结果:3组穿刺成功率比较差异均不显著;斜角一次取材组取材长度短于斜角两次取材组和直角两次取材组(t=9.898,t=5.849;P<0.05),所获肾小球数目少于斜角两次取材组和直角两次取材组,差异有统计学意义(t=7.992,t=4.207;P<0.05);3组取材长度和所获肾小球数目比较,差异有统计学意义(F=28.812,F=18.073;P<0.05)。斜角一次取材组并发症总发生率低于斜角两次取材组和直角两次取材组,差异有统计学意义(x^(2)=5.321,x^(2)=12.253;P<0.05),3组并发症总发生率比较差异有统计学意义(x^(2)=12.036,P<0.05)。结论:普通探头配支架超声引导下斜角进针肾活检术一次取材法穿刺成功率较高,可以获得满意取材结果,且并发症较少,安全性好。
Objective:To study the application effect of one-time sampling of renal biopsy with puncture on oblique angle under ultrasound guidance with ordinary probe and stent.Methods:150 patients with renal disease due to various reasons who were to undergo renal biopsy and puncture in hospital were selected,and they were divided into onetime sampling on oblique angle group,two-times sampling on oblique angle group and two-times sampling on rightangle group according to simple randomized design,with 50 cases in each group.And then,the results of puncture,the length of obtained material,the amount of obtained glomerulus and the condition of complication among three groups were analyzed and compared.Results:There was no significant difference in the success rate of puncture among the 3 groups.The length of obtained material of one-time sampling on oblique angle group was significantly shorter than that of two-times sampling on oblique angle group and two-times sampling on right-angle group(t=9.898,t=5.849,P<0.05),respectively.The amount of obtained glomerulus of one-time sampling on oblique angle group was significantly less than that of two-times sampling on oblique angle group and two-times sampling on right-angle group(t=7.992,t=4.207,P<0.05),respectively.The differences of the length of obtained material and the amount of obtained glomerulus among three groups were significant(F=28.812,F=18.073,P<0.05),respectively.The total incidence of complications of onetime sampling on oblique angle group was lower than that of other two groups(x^(2)=5.321,x^(2)=12.253,P<0.05).There was a statistically significant difference in the total incidence of complications among the three groups(x^(2)=12.036,P<0.05).Conclusion:The success rate of one-time sampling of renal biopsy with puncture on oblique angle under the ultrasound guidance with ordinary probe and stent is higher,which can obtain satisficing sampling result and has fewer complications.In addition,its safety is favorable.
作者
吴杰
廖婷婷
黄龙
覃惠萍
王高兴
秦雁雄
韦美菊
WU Jie;LIAO Ting-ting;HUANG Long(Department of Nephrology,The First Affiliated Hospital of Guangxi University of Science and Technology,Guangxi 545002,China;不详)
出处
《中国医学装备》
2021年第10期64-68,共5页
China Medical Equipment
基金
广西壮族自治区卫生和计划生育委员会科研课题自筹经费(Z20170099)“普通探头配支架超声引导下斜角进针肾活检术一次取材法的应用研究”。
关键词
肾穿刺活检
超声引导
超声探头
穿刺成功率
Renal biopsy
Ultrasound guidance
Ultrasound probe
Success rate of puncture