超声介入经皮肾活检的临床应用和严重并发症分析
Clinical application and complications of ultrasound-guided renal biopsy
目的 本文旨在讨论肾自动活检的重要性和安全性.方法 总结2004年1月至2007年9月我院住院行肾活检的患者计132例,统计术后并发症发生率以及与相关因素的关系.结果 取材成功率为96.2%,所有经过肾活检的患者术后均得出明确的病理诊断,轻度并发症发生率为8.33%,严重并发症发生率为1.52%,与性别、年龄、穿刺的次数、针型无相关性;严莺并发症与术前、后用药及管理存在一定的关系.结论 只要术前做好准备工作,严格按照手术适应证选择患者,术前、术后合理用药,超声介入肾自动活检术是一种安全、有效、重要的诊断手段.
更多Objective To discuss the importance and seeurity of renal biopsy with automatic biopsy gun. Methods 132 patients were performed renal biopsy in our hospital from january, 2004 to september, 2007. The eomplieation ineidenee and related factors were analysed in the eases. Results The suecessful rate for getting sample was 96. 2%. All the patients undergoing renal biopsy got identified pathological diagnosis. The incidence of mild complications was 8. 33%, the incidence of severe complications was 1.52%. The incidence had no relation with sex, age, puncturing times, or neddle types. The incidence of severe complications had some relation with preoperative and postoperative medication and management. Conclusion With good preoperative preparation, strict indications for it,and resonable preoperative and postoperative medication, renal biopsy was a safe, useful, and important diagnostic method.
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