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超声引导下经皮肾穿刺活检术诊断弥漫性肾病275例分析

Ultrasound-guided percutaneous renal biopsy for the diagnosis of diffuse renal disease in 275 cases

来源期刊: 广州医药 | 43-46 发布时间:2021-11-28 收稿时间:2025/11/13 17:43:27 阅读量:31
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关键词:
超声经皮肾穿刺活检弥漫性肾病病理分型
UltrasoundPercutaneous renal biopsiesDiffused kidney diseasePathological classification
DOI:
10.3969/j.issn.1000-8535.2020.04.009
收稿时间:
2020-01-02 
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0  
目的 分析超声引导下经皮肾穿刺活检术对弥漫性肾病进行病理诊断的临床应用价值。方法 回顾性分析我院275例弥漫性肾病患者经超声引导下行经皮肾穿刺活检术进行诊断的情况,针对上述患者的穿刺活检情况、穿刺满意度、取材成功率、并发症发生状况、弥漫性肾病病理分型结果以及术后诊断更正的情况进行分析。结果 275例患者穿刺满意度、取材成功率、并发症总发生率分别为94.91%,100%、10.91%。275例患者术后并发症的发生与年龄、穿刺次数、肾实质厚度、术前血肌酐水平有关。275例患者以膜性肾病、IgA肾病居多,分别占比23.27%、18.55%。275例患者术后诊断更正率为19.79%。结论 超声引导下经皮肾穿刺活检术是一种安全有效的弥漫性肾病诊断方法,其术后并发症发生率较低且较轻。在弥漫性肾病病理分型诊断中以膜性肾病、IgA肾病的发病率较高。超声引导下经皮肾穿刺活检术可早期诊断弥漫性肾病的病理类型,为确定治疗方案提供可靠依据,改善肾脏疾病的预后。
Objective To analyze the clinical value of ultrasound-guided percutaneous renal biopsy for pathological diagnosis of diffuse renal disease. Methods Retrospective analysis of 275 patients with diffuse renal disease in our hospital underwent ultrasound-guided percutaneous renal biopsy for diagnosis. According to the above-mentioned patients' biopsy status,puncture satisfaction,success rate of material extraction,complications,and diffuse results of pathological typing of nephropathy and correction of postoperative diagnosis were analyzed. Results The satisfaction rate of puncture,the success rate of material extraction and the total incidence of complications were 94%,100%,and 10.91%,respectively. The incidence of postoperative complications in 275 patients was related to age,number of punctures,thickness of renal parenchyma,and preoperative serum creatinine levels. Membrane nephropathy and IgA nephropathy were the most common in 275 patients,accounting for 23.27% and 18.55% respectively. The correction rate of postoperative diagnosis in 275 patients was 19.79%. Conclusion Ultrasound-guided percutaneous renal biopsy is a safe and effective method for diagnosing diffuse nephropathy,and the incidence of postoperative complications is low and mild. Membrane nephropathy and IgA nephropathy have a higher incidence in the diagnosis of diffuse nephropathy. Ultrasound-guided percutaneous renal biopsy may early diagnose the pathological type of diffuse renal disease,provide a reliable basis for determining the treatment plan,and improve the prognosis of renal disease.
1、 魏雪,章如松,何燕,等. 多功能超声波组织处理仪在肾穿刺活检组织处理中的应用[J]. 临床肾脏病杂志,2016, 16(1): 48-50. 魏雪,章如松,何燕,等. 多功能超声波组织处理仪在肾穿刺活检组织处理中的应用[J]. 临床肾脏病杂志,2016, 16(1): 48-50.
2、 王昌国,曾大雄,雷伟,等. CT引导下经皮肺穿刺与超声引导下经支气管镜肺活检对肺周围型病变的诊断价值[J]. 中华结核和呼吸杂志,2015,38(12):897-900. 王昌国,曾大雄,雷伟,等. CT引导下经皮肺穿刺与超声引导下经支气管镜肺活检对肺周围型病变的诊断价值[J]. 中华结核和呼吸杂志,2015,38(12):897-900.
3、 张义,喻华,汪前亮. 逆行输尿管造影辅助超声引导下经皮肾穿刺技术处理肾结石合并无积水肾的可行性及安全性研究[J]. 国际泌尿系统杂志,2018,38(4):557. 张义,喻华,汪前亮. 逆行输尿管造影辅助超声引导下经皮肾穿刺技术处理肾结石合并无积水肾的可行性及安全性研究[J]. 国际泌尿系统杂志,2018,38(4):557.
4、 余虓,夏丁,彭鄂军,等. 超声引导下SVOF原则两步穿刺法建立经皮肾镜工作通道的临床研究[J]. 中华外科杂志,2018,56(10):764-767. 余虓,夏丁,彭鄂军,等. 超声引导下SVOF原则两步穿刺法建立经皮肾镜工作通道的临床研究[J]. 中华外科杂志,2018,56(10):764-767.
5、 陈秋妹,叶小楼,邓荣海,等. 不同直径穿刺针对超声引导下经皮移植肾活检的影响[J]. 器官移植,2016,7(4):292-295. 陈秋妹,叶小楼,邓荣海,等. 不同直径穿刺针对超声引导下经皮移植肾活检的影响[J]. 器官移植,2016,7(4):292-295.
6、 黄冰,谢可越,姚明. CT引导下经皮穿刺交感神经肾丛毁损性阻滞治疗顽固性高血压一例报道[J]. 中华神经医学杂志,2018,17(6):634-636. 黄冰,谢可越,姚明. CT引导下经皮穿刺交感神经肾丛毁损性阻滞治疗顽固性高血压一例报道[J]. 中华神经医学杂志,2018,17(6):634-636.
7、 余海峰,施慧飞,谢海萍,等. 两种穿刺法行肾脏组织活检患者肾功能和获取肾小球数、肾周血肿发生率的比较[J]. 中华全科医师杂志,2015,14(9):670-674. 余海峰,施慧飞,谢海萍,等. 两种穿刺法行肾脏组织活检患者肾功能和获取肾小球数、肾周血肿发生率的比较[J]. 中华全科医师杂志,2015,14(9):670-674.
8、 朱鹤,李宁忱,赵子臣,等. 基于混合现实引导的经皮肾穿刺肾脏模型的验证[J]. 中华医学杂志,2018,98(24):1962-1964. 朱鹤,李宁忱,赵子臣,等. 基于混合现实引导的经皮肾穿刺肾脏模型的验证[J]. 中华医学杂志,2018,98(24):1962-1964.
9、 DAVE C N,SEIFMAN B,CHENNAMSETTY A,et al. Office-based ultrasound-guided renal core biopsy is safe and efficacious in the management of small renal masses[J]. Urology,2017(102):26-30. DAVE C N,SEIFMAN B,CHENNAMSETTY A,et al. Office-based ultrasound-guided renal core biopsy is safe and efficacious in the management of small renal masses[J]. Urology,2017(102):26-30.
10、 MENHADJI A D,NGUYEN V,OKHUNOV Z,et al. Technique for office-based,ultrasonography-guided percutaneous biopsy of renal cortical neoplasmsusing a novel transducer for facilitated ultrasound targeting[J]. BJU Int,2016,117 (6):948-953. MENHADJI A D,NGUYEN V,OKHUNOV Z,et al. Technique for office-based,ultrasonography-guided percutaneous biopsy of renal cortical neoplasmsusing a novel transducer for facilitated ultrasound targeting[J]. BJU Int,2016,117 (6):948-953.
11、 WANG R,WOLF J S,WOOD D P,et al. Accuracy of percutaneous core biopsy in management of small renal masses[J]. Urology,2009,73 (3):586-590. WANG R,WOLF J S,WOOD D P,et al. Accuracy of percutaneous core biopsy in management of small renal masses[J]. Urology,2009,73 (3):586-590.
12、 MATUREN K E,NGHIEM H V,CAOILI E M,et al. Renal mass core biopsy: accuracy and impact on clinical management[J]. AJR Am J Roentgenol,2007,188 (2):563-570. MATUREN K E,NGHIEM H V,CAOILI E M,et al. Renal mass core biopsy: accuracy and impact on clinical management[J]. AJR Am J Roentgenol,2007,188 (2):563-570.
13、 CHOW W H,DEVESA S S,WARREN J L,et al. Rising incidence of renal cell cancer in the United States. [J]. JAMA,1999 (281):1628-1631. CHOW W H,DEVESA S S,WARREN J L,et al. Rising incidence of renal cell cancer in the United States. [J]. JAMA,1999 (281):1628-1631.
14、 VOLPE A,KACHURA J R,GEDDIE W R,et al. Techniques,safety and accuracy of sampling of renal tumors by fine needle aspiration and core biopsy[J]. J Urol,2007(178):379-386. VOLPE A,KACHURA J R,GEDDIE W R,et al. Techniques,safety and accuracy of sampling of renal tumors by fine needle aspiration and core biopsy[J]. J Urol,2007(178):379-386.
15、 苏中振,李柳军,徐士丞,等. 弥漫性肝病对三维超声单模态自动图像融合的影响[J]. 中华超声影像学杂志,2015,24(1):40-43. 苏中振,李柳军,徐士丞,等. 弥漫性肝病对三维超声单模态自动图像融合的影响[J]. 中华超声影像学杂志,2015,24(1):40-43.
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