探索B超导向肾穿刺活检术在临床诊疗效果中的分析

目的总结探索肾穿活检的技术,协助提高各种肾病的诊疗效果.方法对来我院诊疗的部分肾病患者,使用美国LOGIQ400型B超导向定位进行肾脏组织穿刺,观察临床病理诊断和治疗效果.结果288例肾穿活检术观察对象患者,男186例,女102例,1次2针穿刺成功284例,占98.61%,1次3针穿刺成功4例,占1.39%;肾周血肿5例,肉眼血尿3例;病理诊断纠正临床误诊、漏诊患者132例,占45.38%.以慢性肾小球肾炎、肾病综合征病例(含Ⅰ、Ⅱ型)三种病误诊、漏诊患者95例为最多,占误诊、漏诊病例的71.96%.结论B超导向肾穿活检技术快捷、安全、并发症少,能协助临床研究、诊断疾病,提高效疗.

To search the effection of the B-ultrasound renal biopsy in the clinical diagnose and treatrnent

Objective to summarize and evaluate the renal biopsy technique- which help increasing the diagnoses of the nephropathy. Methods Renal biopsy guided by B mode ultrasound (American LOGIQ400) was performed in 288 patients with nephropathy in our hospital- then estimated the pathological diagnoses and curative effect. Results 288 patients with nephropathy were enrolled in our study- 186 male and 102 female. 284 samples were successfully performed by 3 needle once- and the successful rate was 13.9%. Perirenal haematomas occurred in 5 samples and gross hematuria in 3 samples. The clinical diagnoses of 132 samdes were corrected by thy pathology- and thy rate was 45.38%. Conclusions Rend biopsy guided by B mode ultrasound can provide a rapid and safe way with less complication. It can assist to clinical researches and diagnoses- which may enhance thy curative effect and increase thy social benefit. So it is thy preferred examination nowadays.