超声引导下对肾活检技术临床应用价值及意义.docVIP

超声引导下对肾活检技术临床应用价值及意义 　　【摘要】 目的：探讨超声引导下肾活检技术的临床应用价值及意义。方法：选取2013年7月-2015年7月本院收治的采用超声引导下经皮肾穿刺活检术的患者90例作为研究对象，回顾性分析穿刺取材成功率，病理结果及术后并发症情况。结果：所有患者取材成功率为100%；病理结果显示：系膜增生性肾小球肾炎46例，伴肾小球硬化22例；局灶性阶段硬化性肾小球肾炎19例；IgA肾病12例；狼疮性肾炎5例；过敏性紫癜性肾小球肾炎6例；膜性肾病1例；微小病变性肾小球病1例。术后出现并发症12例，其中6例自诉有腰酸和腰痛，2例患者出现肉眼血尿后自行消退，4例出现穿刺针处出血，并发症发生率为13.3%。结论：超声引导下肾脏穿刺活检术是一种安全有效的辅助检查方法，具有成功率高，术后并发症少的优点，值得临床应用。 　　【关键词】 超声引导； 肾活检； 临床应用 　　【Abstract】 Objective：To explore the clinical value and significance of ultrasound guided renal biopsy.Method：From July 2013 to July 2015，90 cases of ultrasound guided percutaneous renal biopsy were selected as the research objects，the success rate of drawing materials，pathological findings and postoperative complications were analyzed retrospectively.Result：The success rate of drawing materials for all patients was 100%.Pathological results showed，mesangial proliferative glomerulonephritis was 46 cases，glomerular sclerosis was 22 cases，focal stage hardening glomerulonephritis was 19 cases，IgA nephropathy was 12 cases，lupus nephritis was 5 cases，allergic purpura glomerulonephritis was 6 cases，membranous nephropathy was 1 case and minimal change glomerulopathy was 1 case.The postoperative complications were found in 12 cases，which 6 cases of private prosecution have backache and lumbago，2 cases of patients presented with gross hematuria after self regression，4 cases of appearing puncture needle bleeding，the rate of adverse reaction was 13.3%.Conclusion：Ultrasound guided renal biopsy is a safe and effective secondary screening method，with a high success rate and fewer complications，it is worthy of clinical promotion. 　　【Key words】 Ultrasound guided； Renal biopsy； Clinical application 　　First-author’s address：The First People’s Hospital of Zhaoqing City，Zhaoqing 526020，China 　　doi：10.3969/j.issn.1674-4985.2016.15.016 　　由于人体肾脏疾病类型十分复杂，且患者临床治疗方法及预防均取决其病理类型。近年来，临床介入性超声技术得到了快速发展及应用。然而各种肾脏疾病临床病理组织学诊断的金标准为肾穿刺活检术，同时临床诊断肾脏疾病时还需尽可能地反映出患者疾病性质及病情严重程度，从而为患者临床治疗及预后判断提供参考依据[1]。应用超声引导下经皮穿刺活