不同直径穿刺针对超声引导下经皮移植肾活检的影响

陈秋妹; 叶小楼; 邓荣海; 鲜长会; 杨思光; 欧阳晓光

doi:10.3969/j.issn.1674-7445.2016.04.009

不同直径穿刺针对超声引导下经皮移植肾活检的影响

doi: 10.3969/j.issn.1674-7445.2016.04.009

516081 广东惠州，惠州市中大惠亚医院功能科(陈秋妹、叶小楼、鲜长会、杨思光、欧阳晓光)；中山大学附属第一医院肾移植科(邓荣海)

基金项目:

惠州市科技计划项目 20150805

详细信息

通讯作者:
叶小楼，Email：hyyygnk@163.com

中图分类号: R617，R445.1
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- 被引次数: 0
出版历程
- 收稿日期: 2016-03-30
- 网络出版日期: 2021-01-19
- 刊出日期: 2016-07-15

Effect of puncture needles with different diameter on percutaneous biopsy for transplant kidney under ultrasound guidance

Department of Function，Huiya Hospital, Sun Yat-sen University, Huizhou 516081, China

摘要

摘要: 目的比较在超声引导下应用不同直径穿刺针行经皮移植肾活组织检查(活检)的效果。方法接受超声引导下经皮移植肾穿刺活检的患者82例，按所用穿刺针直径将其分成两组，18 G组(31例)和16 G组(51例)。比较两组活检效果及并发症的发生情况。结果与18 G组比较，16 G组的穿刺针数较少，且取得的肾小球数量较多(均为P＜0.01)。16 G组的取材合格率明显高于18 G组(P＜0.05)。两组患者术后并发症发生率比较差异无统计学意义(P＞0.05)。进一步分层比较，同为2针或3针穿刺时，两组的并发症发生率比较差异亦无统计学意义(均为P＞0.05)。结论在超声引导下行移植肾穿刺活检，采用16 G穿刺针和18 G穿刺针穿刺的安全性相近。在患者病情的允许下，采用16 G穿刺针较18 G穿刺针更具有优势，肾取材标本的质量较高。
- 移植肾 /
- 穿刺活组织检查 /
- 并发症 /
- 穿刺针 /
- 直径
Abstract: Objective To compare the effect of puncture needles with different diameter on percutaneous biopsy for transplant kidney under ultrasound guidance. Methods A total of 82 cases underwent percutaneous renal biopsy for transplant kidney under ultrasound guidance, and were divided into two groups based on the diameters of puncture needles, Group 18 G (n=31) and Group 16 G (n=51). The effect of biopsy and complications were compared between the two groups. Results Compared with Group18 G, Group16 G used less puncture needles and obtained more glomeruli (both P＜0.01). The qualified rate of renal specimens in Group 16 G was significantly higher than that of Group 18 G(P＜0.05). There was no significant difference in postoperative complications between the two groups (P＞0.05). Further stratified comparison was conducted, and the results showed that complications of the two groups were not statistically significant in case of puncture with 2 needles or 3 needles (both P＞0.05). Conclusions There is similar safety of 16 G puncture needle and 18 G puncture needle to perform renal biopsies under ultrasound guidance. Under the allowable condition of patients, 16 G puncture needle is superior to 18 G puncture needle and realizes high quality of renal specimens.
- Transplant kidney /
- Puncture biopsy /
- Complication /
- Puncture needle /
- Diameter

HTML全文

图 1 超声引导下行移植肾穿刺活检的过程

注：A图示确定拟穿刺部位皮质区及皮下组织层的血供情况，确保穿刺路径无较大的血管走形；B图示超声引导穿刺过程，线状高回声区(红色箭头)为穿刺活检针的回声

Figure 1. Process of transplant renal puncture biopsy guided by ultrasound

下载: 全尺寸图片幻灯片

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