超声引导下经皮肾穿刺活检67例临床分析

目的：探讨超声引导经皮肾穿刺活检术的临床价值。方法：在超声引导下，采用侧槽切割式自动活检枪，对67例肾脏病患者进行肾穿刺活检。结果：67例患者穿刺134针，成功率100％。患者术后皆出现镜下血尿或原有血尿加重，无需特殊处理，1～3天后自行消失或好转。2例患者出现肾周血肿、无1例出现肉艰血尿、严重出血、感染等并发症。结论：经皮超声引导肾穿刺活检术具有安全、准确、并发症少及痛苦轻等特点。

Clinical value of ultrasound-guided transdermal renal fine needle aspiration in 67 cases

Objective:To discuss the clinical value of ultrasound-guided transdermal renal fine needle aspiration(FNA).Methods:Using lateral cutting through-type autobiopsy gun to perform renal FNA in 67 patients with kidney diseases.Results:There were 134 FNA done in 67 patients,the success rate was 100%.After the procedure,all patients presented microscopic hematuria.Without specific treatment,the symptom relieved or improved in 1~3 days.2 patients presented perirenal hematoma.No other complication occurred,such as gross hematuria,massive bleeding or infection.Conclusion:Ultrasound-guided transtermal renal FNA has the advantages of safety,accuracy,less pain and less complication. Microscopic hematuria is a common reaction in post procedure.