超声引导下十字定位斜行穿刺经皮肾脏病理活检方法的研究

ULTRASOUND-GUIDED CROSS-POSITIONING OBLIQUE PERCUTANEOUS PUNCTURE PERCUTANEOUS RENAL PATHOLOGICAL BIOPSY

目的探讨安全有效的肾穿刺活检方法。方法将109例肾病综合征患者随机分成观察组(60例)和对照组(49例)。观察组在超声引导定位下十字定位、斜行经皮穿刺肾活检;对照组按传统方法超声引导定位下、垂直穿刺。观察比较两组患者的取材情况和并发症情况。结果观察组取材情况明显优于对照组(χ~2=36.26,P<0.01)。观察组并发症的发生率为3.33%,对照组为32.65%,两组相比有统计学意义意义(χ~2=14.76,P<0.01)。结论超声引导下十字定位、斜行穿刺经皮肾脏病理活检方法安全有效。

Objective To explore safe and effective methods of renal biopsy. Methods 109 nephrotic syndrome patients were randomly divided into the observation group (60 cases) and the control group (49 cases). Ultrasound-guided cross localization and oblique percutaneous renal biopsy were performed in the observation group. The traditional method of ultrasound guided localization and vertical percutaneous renal biopsy were performed in the control group. The success rate of renal biopsy, the sampling and the incidence of complications in the two groups were observed and compared. Results The success rate of renal biopsy in the observation group was significantly higher than that in the control group(χ^2=36.26, P <0.01).The incidence of complications was 3.33% in the observation group and was 32.65% in the control group. The difference between the two groups was statistically significant(χ^2=14.76, P <0.01). Conclusion The method of ultrasound-guided cross localization and oblique percutaneous renal biopsy are safe and effective.