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目的研究在超声引导下行肾脏病理学穿刺活检的安全性及应用价值。方法在超声引导下,应用Bade侧槽切割式自动穿刺活检枪,对59例肾病患者行肾脏病理学穿刺活检。结果 59例患者穿刺122针均成功,成功率100%。其中54例患者穿刺后有镜下血尿,观察症状于1~3 d后消失。3例患者有少量肉眼血尿,给予止血药应用后症状消失,2例患者出现小的肾周血肿,延长卧床时间后完全吸收,未见严重并发症出现。结论超声引导下肾脏病理学穿刺活检术是安全有效的,具有并发症少且痛苦小等特点,值得临床推广应用。
Objective To study the safety and application value of renal pathological biopsy guided by ultrasound. Methods Under the guidance of ultrasound, we performed pathologic biopsy of renal pathology in 59 cases of nephropathy patients by using Bade side-slot automatic biopsy gun. Results 59 patients puncture needle 122 were successful, the success rate of 100%. Among them, 54 patients had microscopic hematuria after puncture, and the symptoms disappeared after 1-3 days. 3 patients had a small amount of gross hematuria, given hemostatic medicine symptoms disappeared, 2 patients showed small perirenal hematoma, prolonged bed time completely absorbed, no serious complications. Conclusion Ultrasound-guided nephrology biopsy is safe and effective with less complications and less pain. It is worthy of clinical application.