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目的:探讨高海拔地区经皮超声活检术在肾脏疾病诊断中的应用及安全性。方法:本院肾内科住院患者40例,在超声引导下,取俯卧位,用精细活针,选左肾下极实质部取材。结果:术后全部临床确诊,且修正先前误诊8例。肉眼血尿发生率2.5%。结论:在高海拔地区,除有明显的出血性疾患外,对肾脏疾病均应行经皮超声肾活检术,可明确高原地区肾脏疾病的病理类型,指导治疗,判断预后,并且安全性好,并发症少。
Objective: To explore the application and safety of percutaneous ultrasound biopsy in diagnosis of renal disease in high altitude area. Methods: 40 cases of hospitalized patients with renal medicine, under the guidance of ultrasound, prone position, with fine live needle, the selection of the left subphrenic parenchyma extracted. Results: All patients were clinically diagnosed and 8 cases previously misdiagnosed. Gross hematuria 2.5%. Conclusion: In high altitude areas, except for obvious hemorrhagic disorders, renal biopsy should be performed on renal diseases, which can clarify the pathological type of kidney disease in the high altitude area, guide the treatment and prognosis, and the safety is good. Disease less.