Jiao Wei-ping, Wang Ping, Fu Wen-jing
Department of Ultrasound, Capital University of Medical Science, Beijing 100053, China.
Zhonghua Yi Xue Za Zhi. 2008 Nov 11;88(41):2932-4.
To explore the applicable value of ultrasound guidance in percutaneous renal biopsy.
168 patients with kidney diseases underwent ultrasound-guided renal biopsy. Pathological examination was conducted. Predictors of successful rate were assessed by multivariate logistic regression analysis.
Successful biopsy was achieved in 157 of the 168 patients with a success rate of 93.45%. Satisfying results were obtained from 143 of the 157 samples and normal renal tissues were reported in 14 samples. No serious adverse events were observed in this study. The successful biopsy rate of female patients was 89.16%, significantly lower than that of the male patients (97.65%, P < 0.05). Age, puncture times, thickness of renal cortex, and type of clinical diagnosis were not significantly correlated with the successful rate of biopsy.
Ultrasound-guided renal biopsy is a kind of safe diagnostic method for kidney disease. The successful rate of renal biopsy in females is lower than that in males.
探讨超声引导在经皮肾穿刺活检中的应用价值。
168例肾病患者接受超声引导下肾穿刺活检。进行病理检查。通过多因素logistic回归分析评估成功率的预测因素。
168例患者中157例穿刺成功，成功率为93.45%。157份样本中有143份结果满意，14份报告为正常肾组织。本研究未观察到严重不良事件。女性患者穿刺成功率为89.16%，显著低于男性患者（97.65%，P<0.05）。年龄、穿刺次数、肾皮质厚度和临床诊断类型与穿刺成功率无显著相关性。
超声引导下肾穿刺活检是一种安全的肾病诊断方法。女性肾穿刺活检成功率低于男性。
