一种改良的实时超声引导下儿科经皮肾活检技术：斜切线入路。
A modified technique for real time ultrasound guided pediatric percutaneous renal biopsy: the angled tangential approach.
机构信息
1 Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 2 Department of Radiology, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey ; 3 Department of Pediatrics, Kaçkar Government Hospital, Rize, Turkey ; 4 Department of Pediatrics, Division of Pediatric Nephrology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 5 Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey ; 6 Department of Anesthesia and Reanimation, 7 Department of Pathology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; 8 Department of Radiology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey.
出版信息
Quant Imaging Med Surg. 2014 Jun;4(3):190-4. doi: 10.3978/j.issn.2223-4292.2014.01.01.
AIM
Pediatric renal biopsy may result in serious hemorrhagic complications, requiring additional diagnostic procedures, blood transfusion, vascular interventions, and prolongation of hospitalization. The aim of the present study was to propose the angled tangential approach technique for real-time ultrasound-guided pediatric percutaneous renal biopsy.
METHODS
A retrospective analysis of 166 percutaneous biopsies from June 2004 to May 2009 was performed. Patients' medical records, pathology results, and complications were reviewed.
RESULTS
No major complications were seen in the study group. The most frequently occurring minor complication was macroscopic hematuria, which occurred at the rate of 9.6%. Hematoma was detected in three cases and regressed spontaneously in all cases.
CONCLUSIONS
The angled tangential approach is a safe technique and an alternative option in pediatric percutaneous renal biopsies.
目的
小儿肾脏活组织检查可能导致严重的出血并发症，需要额外的诊断程序、输血、血管介入和住院时间延长。本研究旨在提出实时超声引导下小儿经皮肾活检的斜切进针技术。
方法
对 2004 年 6 月至 2009 年 5 月期间的 166 例经皮活检进行回顾性分析。回顾了患者的病历、病理结果和并发症。
结果
研究组未出现重大并发症。最常见的轻微并发症是肉眼血尿，发生率为 9.6%。3 例发现血肿，所有病例均自行消退。
结论
斜切进针技术是一种安全的技术，也是小儿经皮肾活检的一种替代选择。
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