压迫止血法在实时超声引导经皮肾穿刺的应用价值

来源期刊：广州医药 | 47-50 发布时间：2021-11-28 收稿时间：2025/11/13 17:43:35 阅读量：30

作者：: 金海,

胡志文,

柳建华,

关键词：: 压迫止血法实时超声引导经皮肾穿刺并发症; Manual compression Real-time ultrasound-guided renal biopsy Complication

DOI：: 10.3969/j.issn.1000-8535.2020.04.010

收稿时间：: 2020-02-26
修订日期：
接收日期：
引用总数：: 0

目的本研究旨在探讨压迫止血法在减少实时超声引导经皮肾穿刺术后并发症中的价值。方法选取2011年9月1日—2016年12月31日于我院行超声引导下经皮肾穿刺术患者405例。按肾穿刺后是否行立即行压迫止血法分2组,非压迫止血法为对照组(A组),压迫止血法为研究组(B组)。记录患者术前血压、凝血四项、血红蛋白、血小板等指标。记录穿刺次数及每次穿刺所取标本长度。术后24 h复查穿刺点出血情况及肾周血肿情况。穿刺术后24 h内监测血尿情况。结果与非采用压迫止血法超声定位经皮肾穿刺术后(A组)相比,压迫止血法术后(B组)并发症发生率较低, A组肉眼血尿发生率为8.8 %,B组为4 %,差异有统计学意义(P=0.048);A组24 h肾周血肿发生率为 62.1%,B组为49.8%,差异有统计学意义(P=0.042)。结论实时超声引导下经皮肾穿刺后立即行压迫止血法,可有效减少术后肾周血肿和血尿。

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