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超声引导下肾活检:十年单中心回顾性经验及临床催眠的潜在作用

Ultrasound-guided kidney biopsy: a ten-year retrospective single-center experience and the promising role of clinical hypnosis.

作者信息

Angioi Andrea, Mascia Giacomo, Sirigu Danilo, Cao Riccardo, Bianco Paola, Onnis Daniela, Floris Matteo, Cabiddu Gianfranca, Pani Antonello, Lepori Nicola

机构信息

Nephrology, Dialysis and Transplantation Unit, Giuseppe Brotzu' Hospital, Cagliari, Italy.

Pathology Department, Giuseppe Brotzu' Hospital, Cagliari, Italy.

出版信息

Int Urol Nephrol. 2025 Feb;57(2):553-559. doi: 10.1007/s11255-024-04196-1. Epub 2024 Sep 6.

Abstract

This retrospective analysis investigates the outcomes and complications of 682 kidney biopsies performed at ARNAS G. Brotzu from 2010 to 2021. Our findings indicate a minor complication rate of 9.1%, with severe complications being exceedingly rare at 0.3%. Age did not contribute to an increased risk, underscoring the procedure's safety across age groups. Clinical hypnosis was incorporated into the biopsy protocol in a subset of patients (n = 45) from April 2019 to December 2023. Over 90% of these patients reported no perception of the procedure, and 60% experienced no pain. According to STAY-Y test scores, this approach significantly reduced anxiety post-procedure (p = 0.001); no major or minor complications were observed in this group. While our study reaffirms the very low risk of severe complications in kidney biopsies, it also highlights the potential benefits of adjunct clinical hypnosis in enhancing patient comfort and cooperation during the procedure. This exploration opens a promising avenue for further investigation to improve patient experiences and procedural outcomes in kidney biopsies.

摘要

这项回顾性分析调查了2010年至2021年在阿尔纳斯·G·布罗祖医院进行的682例肾活检的结果和并发症。我们的研究结果表明,轻微并发症发生率为9.1%,严重并发症极为罕见,为0.3%。年龄并未增加风险,这突出了该手术在各年龄组中的安全性。2019年4月至2023年12月,在一部分患者(n = 45)的活检方案中纳入了临床催眠。超过90%的这些患者表示未感觉到手术过程,60%的患者未感到疼痛。根据STAY - Y测试评分,这种方法显著降低了术后焦虑(p = 0.001);该组未观察到重大或轻微并发症。虽然我们的研究再次证实了肾活检中严重并发症的风险极低,但它也突出了辅助临床催眠在提高手术过程中患者舒适度和合作度方面的潜在益处。这一探索为进一步研究改善肾活检患者体验和手术结果开辟了一条有前景的途径。

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Systematic Review and Meta-Analysis of Native Kidney Biopsy Complications.系统评价和自体肾活检并发症的荟萃分析。
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