| 64例急性肾功能衰竭肾穿刺活检的价值及并发症分析 |
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| 引用本文： | 张连云,朱永俊,郭明好.64例急性肾功能衰竭肾穿刺活检的价值及并发症分析[J].现代医药卫生,2010,26(10):1452-1454. |
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| 作者姓名： | 张连云 朱永俊 郭明好 |
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| 作者单位： | 新乡医学院附属第一医院肾病风湿病科,河南,新乡,453100 |
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| 摘 要： | 目的:探讨急性肾功能衰竭(acute renal failure,ARF)患者经皮肾穿刺活检术(percutaneous renal biopsy,PRB)的临床应用价值及并发症.方法:对64例符合条件的ARF患者行PRB的临床资料进行回顾性分析.结果:PRB后病因诊断率由术前的75.32%提高至93.75%.PRB前后病因诊断符合率94.22%.病因诊断错误率4.69%.60例患者经PRB后确诊为ARF,4例临床误诊为ARF的患者经PRB后修正诊断为慢性肾功能不全(CRI).术后有46.12%的患者治疗方案得到了补充,8.24%的患者更改了治疗方案,治疗方案修正率合计50.12%.并发症以镜下血尿最常见,发生率达97%.无误穿其他脏器、感染病例.结论:PRB对明确ARF病因诊断,及时明确治疗方案和判断预后有重要意义,其并发症较肾功能正常者无增加,较CRI发生率低.
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| 关 键 词： | 急性肾功能不全 肾活检 临床价值 并发症 |
Significance and complicaion of percutaneous renal biopsy in 64 patients with acute renal failure |
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| ZHANG Lian-yun
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ZHU Yong-jun
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GUO Ming-hao.Significance and complicaion of percutaneous renal biopsy in 64 patients with acute renal failure[J].Modern Medicine Health,2010,26(10):1452-1454. |
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| Authors: | ZHANG Lian-yun ZHU Yong-jun GUO Ming-hao |
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| Institution: | ZHANG Lian-yun,ZHU Yong-jun,GUO Ming-hao Department of Nephrology , Rheumatism,First Affiliated Hospital,Xinxiang Medical College,Xinxiang,Henan 453100,China) |
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| Abstract: | Objective:To analyse the clinical significance and complications of percutaneous renal biopsy in 64 cases of acute renal failure(ARF).Methods:64 patients with ARF received renal biopsy.The clinical data were analyzed retrospectively.Results:The final etiological diagnosis rate was elevated from 75.32% before PRB to 93.75 % after PRB.The coincidence of etiological diagnosis before and after PRB was 4.69%.Of 64 cases,60 were finally diagnosed as ARF,and the 4 remainders who were clinically misdiagnosed as ARF... |
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| Keywords: | Acute renal failure Percutaneous renal biopsy Clinical significance Complication |
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