329例自动与半自动经皮肾穿刺活检术的成功率与出血并发症对比

Comparison of the Success Rate and Bleeding Complications of 329 Cases of Percutaneous Kidney Biopsy by Automatic and Semi-Automatic Biopsy Gun

目的探讨自动与半自动肾穿刺枪对肾穿刺活检术成功率与出血并发症的影响。方法回顾性分析2007年7月～2010年6月在厦门大学附属第一医院行肾穿刺活检术329例的临床资料。其中使用自动肾穿刺枪行肾穿刺活检术的患者156例为A组,使用半自动肾穿刺枪行肾穿刺活检术的患者173例为B组,对比观察两组肾活检的成功率及出血并发症的发生情况。结果自动肾穿刺枪行肾活检的成功率高于半自动肾穿刺枪行肾活检者(P<0.005),出血并发症少于使用自动肾穿刺枪行肾活检者(P<0.05)。结论使用自动肾穿刺枪行肾活检的成功率较高及出血并发症较少,值得临床上广泛应用。

Objective To evaluate the success rate and bleeding complications of percutaneous kidney biopsy by automatic and semi-automatic biopsy gun.Method 329 cases of percutaneous kidney biopsy from July 2007 to June 2010 was analyzed retrospectively.The comparision was made to observe the respective success rate and the incidence of bleeding complications between group A（including 156 subjects who were given percutaneous kidney biopsy by automatic biopsy gun） and group B（including 173 subjects who were performed percutaneous kidney biopsy by semi-automatic biopsy gun）.Results It was found that the success rate in group A was higher than that in group B（P0.005）.Furthermore,the less incidence of bleeding complications occurred in group A（P0.05）.Conclusions The application of percutaneous kidney biopsy by automatic biopsy gun not only could possess higher success rate and less incidence of bleeding complications,but also be worth for wider clinical application.