全身麻醉与局部麻醉下小儿肾穿刺成功率及并发症的比较

Comparision of success rate and complication of two percutaneous renal biopsies in children with ketamine and lidocaine anesthesia

目的 比较在全身麻醉与局部麻醉下小儿肾穿刺成功率及并发症。方法 应用自动同步负压活检装置在氯胺酮全身麻醉、利多卡因局部麻醉下分别进行小儿肾穿刺 2 1例 (全麻组 )、 2 6 4例 (局麻组 )。结果 全麻组和局麻组肾穿刺的成功率分别为 95 .2 %、98.8% ,两组相比无显著性差异 (P>0 .0 5 ) ;肉眼血尿发生率分别为 4 .8%、3.8% ,两组相比无显著性差异 (P>0 .0 5 ) ;肾周血肿发生率分别为 0 %、 0 .4 % ,两组相比无显著性差异 (P>0 .0 5 )。结论 应用自动同步负压活检装置在氯胺酮全身麻醉下能安全进行年幼儿肾穿刺。

Objective To Compare the success rate and complication of two percutaneous renal biopsies in children with ketamine and lidocaine anesthesia.Methods Twenty One children(Group A)accepted percutaneous renal biopsy with ketamine anesthesia and 264(Group B)with lidoeaine anesthesia Results The success rate of Group A was 95 2% and Group B 98 8%.There wasnt significantly different between the success rate of Group A and Group B(P>0 05).The rate of gross hematuria of Group A was 4 8% and Group B 3 8%.There wasnt significantly different between the rate of gross hematuria of Group A and Group B(P>0 05).The rate of perirenal hematomas of Group A was 0% and Group B 0 4% There wasnt significantly different between the rate of perirenal hematomas of Group A and Growp B(P>0 05).Conclusion The percutaneous renal biopsies can be performed safely in young children with automatic synchronized minus pressure biopsy apparatus with ketamine anesthesia.