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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 complications of pediatric renal puncture under general anesthesia and local anesthesia. Methods Twenty-one pediatric renal puncture (general anesthesia group) and 264 (local anesthesia group) pediatric renal biopsy were performed under ketamine anesthesia and lidocaine local anesthesia with automatic synchronous negative pressure biopsy device. Results The success rates of renal puncture in general anesthesia group and local anesthesia group were 95.2% and 98.8% respectively, there was no significant difference between the two groups (P> 0.05). The incidences of gross hematuria were 4. 8% , 3.8% respectively. There was no significant difference between the two groups (P> 0.05); the incidence of perirenal hematoma was 0% and 0.4% respectively, there was no significant difference between the two groups (P> 0.05) 5). Conclusion Automatic synchronous negative pressure biopsy device can safely perform renal puncture in children under ketamine general anesthesia.