超声引导下行肾穿刺活检术的临床研究

Clinical Study on Ultrasound-guided Renal Biopsy

目的探讨彩超引导下行肾穿刺活检术的临床价值。方法将156例行肾穿刺活检术的肾病患者随机分为观察组和对照组,观察组应用彩超实时引导定位,对照组应用黑白B超实时引导定位。结果观察组1针取材成功率(100%)高于对照组(91.03%),差异有统计学意义;观察组取材耗时方面,优于B超定位的对照组,有统计学意义,P<0.01;术后血尿等并发症观察组较对照组发生率低,差异有统计学意义,P<0.05。结论彩超实时引导定位行肾穿刺活检术在安全性及取材可靠性方面优于B超,值得临床推广。

Objective This experiment is to discuss the clinical value of renal biopsy under color Dopplar ultrasound guidance.Methods 156 cases of nephritic patients receiving renal biopsy were divided into observation group and control group.Real-time color Dopplar ultrasound guided location was given to the observation group,while the B-sonography guided to the control group.Results The success rate of biopsy in the observation group was 100%,which was higher than that in the control group.Significant difference was found between the two groups.The observation group cost less time than the control group during the process of biopsy.There was significant difference between the two groups（P0.01）.In the observation group,the incidence of postoperative complications like hematuria was lower than that in the control group,which showed significant difference between the two groups（P0.05）.Conclusions Color Dopplar ultrasound guided renal biopsy is superior to B-sonography guided renal biopsy in sampling success rate and operation safety.