超声引导下经皮肾穿刺活检术后并发症的危险因素分析
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摘要
目的:分析超声引导下经皮肾穿刺活检术后并发症的危险因素。方法:选取120例超声引导下经皮肾穿刺活检术患者,对活检术后并发症发生的危险因素采用Logistic回归分析。结果:进针3针的最多,占16.1%(10/62),所有患者均未发生死亡、感染等严重并发症;肾实质厚度<1.5 cm的患者并发症最多,发生率高达18.2%;狼疮性肾炎并发症最多,发生率高达30.0%;急性肾功能衰竭是穿刺术后并发症发生的一个独立危险因素(P<0.05)。结论:急性肾功能衰竭可能是超声引导下经皮肾穿刺活检术患者发生并发症的危险因素,应该引起临床重视。
Objective: To analyze the risk factors of complications after ultrasound guided percutaneous renal biopsy. Methods: 120 cases of after ultrasound guided percutaneous renal biopsy were selected. The risk factors of postoperative complications after biopsy were analyzed by Logistic regression analysis.Results: Most of needle 3,accounting for 16. 1%( 10/62),all patients had no serious complications of death,infection and other complications. Pationts of renal parenchyma thickness < 1.5 cm had the highest complication,the incidence was 18. 2%,lupus nephritis most complications,the incidence was 30.0%,acute renal failure was an independent the risk factors of postoperative complications of puncture( P<0.05).Conclusion: Acute renal failure may be the risk factors of complications after ultrasound guided percutaneous renal biopsy in patients and should cause clinical attention.
Objective: To analyze the risk factors of complications after ultrasound guided percutaneous renal biopsy. Methods: 120 cases of after ultrasound guided percutaneous renal biopsy were selected. The risk factors of postoperative complications after biopsy were analyzed by Logistic regression analysis.Results: Most of needle 3,accounting for 16. 1%( 10/62),all patients had no serious complications of death,infection and other complications. Pationts of renal parenchyma thickness < 1.5 cm had the highest complication,the incidence was 18. 2%,lupus nephritis most complications,the incidence was 30.0%,acute renal failure was an independent the risk factors of postoperative complications of puncture( P<0.05).Conclusion: Acute renal failure may be the risk factors of complications after ultrasound guided percutaneous renal biopsy in patients and should cause clinical attention.
引文
[1]郑红光,王玉慧,张德伟,等.超声引导下经皮肾穿刺活检术后出现肾包膜下血肿的危险因素分析[J].中国实用内科杂志,2010,30(10):919-921.
[2]林碧锋,林德水,张少贵.浅谈床旁超声引导在肾穿刺活检术中的应用效果[J].当代医药论丛,2015,13(24):62-63.
[3]陈永林,谷强,尹晓文,等.超声引导下辅助肾穿刺活检术在儿科的临床应用体会[J].农垦医学,2015,37(5):409-411.
[4]黄力,陈玉平,关洁仪.超声引导下对肾活检技术的临床应用价值及意义[J].中国医学创新,2016,13(15):52-55.
[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):292-295,300.
[6]肖琳,赵帅.超声引导下经皮肾穿刺活检在诊断肾脏疾病的临床价值分析[J].数理医药学杂志,2015,28(1):29-30.
[7]王玉玲,李静怡,黄涌泉,等.超声引导经皮肾活检中应用不同针径活检针的对比分析[J].中国超声医学杂志,2014,30(5):426-429.
[8]周敬勉,姚丽婷,杨鸣.超声引导下经皮肾穿刺活检术在慢性肾脏疾病中诊断价值[J].临床军医杂志,2015,43(5):490-492.
[9]陈龙兰,杨斌,魏淑萍,等.儿童超声引导下经皮肾活检术后并发症的原因分析[J].医学研究生学报,2014,27(7):706-709.
[10]张美华.超声引导经皮肾穿刺活检术238例分析[J].江苏医药,2015,41(17):2088-2089.
[2]林碧锋,林德水,张少贵.浅谈床旁超声引导在肾穿刺活检术中的应用效果[J].当代医药论丛,2015,13(24):62-63.
[3]陈永林,谷强,尹晓文,等.超声引导下辅助肾穿刺活检术在儿科的临床应用体会[J].农垦医学,2015,37(5):409-411.
[4]黄力,陈玉平,关洁仪.超声引导下对肾活检技术的临床应用价值及意义[J].中国医学创新,2016,13(15):52-55.
[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):292-295,300.
[6]肖琳,赵帅.超声引导下经皮肾穿刺活检在诊断肾脏疾病的临床价值分析[J].数理医药学杂志,2015,28(1):29-30.
[7]王玉玲,李静怡,黄涌泉,等.超声引导经皮肾活检中应用不同针径活检针的对比分析[J].中国超声医学杂志,2014,30(5):426-429.
[8]周敬勉,姚丽婷,杨鸣.超声引导下经皮肾穿刺活检术在慢性肾脏疾病中诊断价值[J].临床军医杂志,2015,43(5):490-492.
[9]陈龙兰,杨斌,魏淑萍,等.儿童超声引导下经皮肾活检术后并发症的原因分析[J].医学研究生学报,2014,27(7):706-709.
[10]张美华.超声引导经皮肾穿刺活检术238例分析[J].江苏医药,2015,41(17):2088-2089.