非穿刺探头超声导向经皮肾穿刺活检术的改良应用 |
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引用本文: | 潘富林,齐继连,何成文,陈薇薇,邵雷,李萍华,陈铿.非穿刺探头超声导向经皮肾穿刺活检术的改良应用[J].中国当代医药,2013(3):22-23,25. |
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作者姓名: | 潘富林 齐继连 何成文 陈薇薇 邵雷 李萍华 陈铿 |
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作者单位: | 深圳市龙岗区人民医院肾内科;深圳市龙岗区人民医院超声科 |
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摘 要: | 目的改良应用非穿刺探头超声导向经皮肾穿刺活检技术,以期提高实用性和安全性。方法对58例患者进行充分的术前准备,并行非穿刺探头超声导向经皮肾穿刺活检技术,采用全自动活检枪、16G活检穿刺针和同轴弓I导针,病理组织行光镜、免疫荧光和电镜检查。结果58例患者穿刺合格率为98.27%,病理诊断率为100.00%.病理诊断对临床诊断的修正率为20.61%,电镜诊断对光镜诊断的修正率为3.45%,病理诊断对治疗方案的修正率为15.52%。不良反应:镜下血尿或镜下血尿加重占53.45%,肉眼血尿占12.87%,肾周血肿占1.72%,肠胀气占5.17%,尿潴留占8.62%。发热占1.72%,经相应处理,均完全消失。结论改良应用非穿刺探头超声导向经皮肾穿刺活检术是一种安全、可靠的方法。
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关 键 词: | 肾穿刺 肾活检 技术改良 超声导向 肾脏病理诊断 |
The application and improvement in non-puncture probe ultrasound-guided percutaneous renal biopsy technique |
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Authors: | PAN Fulin QI Jilian HE Chengwen CHEN Weiwei SHAO Lei LI Pinghua CHEN Keng |
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Institution: | 1.Department of Nephrology, People’s Hospital of Longgang District of Shenzhen Ctiy in Guangdong Province, Shenzhen 518172, China; 2.Department of Ultrasonography, People’s Hospital of Longgang District of Shenzhen Ctiy in Guangdong Province, Shenzhen 518172, China |
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Abstract: | Abstract] Objective To improve the application of non-puncture probe ultrasound-guided percutaneous renal biopsy technique, in order to improve the practicability and safety. Methods Non-puncture probe ultrasound-guided percuta- neous renal biopsy were performed in 58 patients with adequate preoperative preparation, using automatic biopsygun, 16G biopsy needle and a coaxial guide needle, and the pathological tissues were detected by light microscopy, im- munofluorescence and electron microscopic examination. Results On the basis of 58 patients, the puncture success rate was 98.27%, the pathological diagnosis accurate rate was 100.00%, and 20.61% of clinical diagnosis were cor- rected according to the pathological diagnosis, 3.45% of light microscopic diagnosis were corrected according to the electron microscopic diagnosis, and 15.52% of the therapy projects were adjusted according to the pathological resut. Adverse reactions: the incidence rate of complications of microscopic hematuria or microscopic hematuria aggravation was 53.45%, gross hematuria was 12.87%, perirenal hematoma was 1.72%, intestinal flatulence was 5.17%, urinary retention was 8.62%, and fever was 1.72%, after the corresponding treatment, all the complications were completely disappeared. Conclusion Improved application of a non-puncture probe ultrasound-guided pereutaneous renal biopsy is a safe, reliable method. |
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Keywords: | Renal puncture/renal biopsy Technology improvement Ultrasound guide Diagnosis of kidney pathology |
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