超声引导下简易穿刺夹在儿科肾活检中的应用

目的分析超声引导下应用简易穿刺夹肾穿刺活检术在儿科的安全性和诊断价值。方法对52例肾脏病患者,通过简易穿刺夹引导,在超声下进行经皮肾穿刺活检术,术后对其成功率和并发症发生率进行分析。结果49例取得符合病理检查的肾组织,满意率94.23%,3例未取得符合条件肾组织者均在早期开展此手术时出现。术后并发症主要为一过性肉眼血尿,肾周血肿发生率1.92%,未发现其他严重并发症。结论简易穿刺夹使用方便,无菌、安全,并能准确引导进针,成功穿得所需组织,易在基层单位推行。

Application of Simple Biopsy Clip by Ultrasound-Guided Percutaneous on Renal Biopsy in Children

Objective To analyze the safety and diagnostic value of ultrasound-guided biopsy with simple biopsy clip in children.Methods Under simple biopsy clip 52 cases were performed percutaneous renal biopsy.Then the curative rate and the incidence rate of complications were evaluated.Results Of 52 cases,49 cases(94.23%) gained enough renal tissue specimen for histological evaluation;Three failed cases occurred at early stage,nothing was found at later stage.The main complication was macroscopic hematuria occurred only once or twice after the operation and perirenal hematoma in 1.92% of the cases.No other severe complications were found.Conclusions The biopsy clip is convenient and sterile,and can guide the biopsy device exactly and safely.The use of 18-gauge biopsy gun and the automated biopsy device in children can decrease the complication rate,which can be easily performed.