[1]余荣杰,赵洪雯,李敛,等.静脉麻醉下无痛肾活检759例的有效性及安全性评价[J].第三军医大学学报,2008,30(02):98-100.
 YU Rong-jie,ZHAO Hong-wen,LI Lian,et al.Painless renal biopsy under transient intravenous anesthesia: a report of 759 cases[J].J Third Mil Med Univ,2008,30(02):98-100.
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静脉麻醉下无痛肾活检759例的有效性及安全性评价(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
30卷
期数:
2008年第02期
页码:
98-100
栏目:
专题报道
出版日期:
2008-01-30

文章信息/Info

Title:
Painless renal biopsy under transient intravenous anesthesia: a report of 759 cases
作者:
余荣杰赵洪雯李敛干磊刘宏吴雄飞
第三军医大学西南医院肾科
Author(s):
YU Rong-jie ZHAO Hong-wen LI Lian GAN Lei LIU Hong WU Xiong-fei
Department of Kidney, Southwest Hospital, Third Military Medical University
关键词:
无痛肾活检有效性安全性
Keywords:
painless renal biopsy efficacy safety
分类号:
R614.24;R692;R699.1
文献标志码:
A
摘要:
目的 测量评价短暂静脉麻醉下经皮肾活检方法(无痛肾活检)的有效性及安全性。  方法 我院自2006年5月始采取短暂静脉麻醉下进行非移植肾经皮肾活检,选取至2007年7月,12岁以上肾活检者共759例。同时回顾我科2005年3月至2006年4月12岁以上局麻下肾活检病例共757例。比较两组肾活检患者肾活检穿刺成功率、术后并发症、标本肾小球数量等。  结果 两组平均年龄无显著性差异[分别为(26.84±11.47)、(27.35±11.82)岁,P>0.05]。无痛组单针取材成功率高于局麻组(分别为94.9%、92.0%,P<0.05)。无痛组标本肾小球数量多于局麻组[分别为(21.5±5.72)、(17.4±4.67),P<0.05]。无痛组穿刺后肉眼血尿4例,肾周血肿2例;局麻组肉眼血尿6例,肾周血肿3例;无痛组穿刺后腰痛发生率低于局麻组(分别为18. 3%、35.2%,P<0.05)。  结论 短暂静脉麻醉下无痛肾活检术是一种更有效、更安全的肾活检方法,可行性好,值得临床推广。
Abstract:
Objective To present a kind of percutaneous renal biopsy under transient intravenous anesthesia and evaluate its feasibility and safety.   Methods Percutaneous native renal biopsy under transient intravenous anesthesia had been carried out in our hospital since May 2006, and applied to 759 patients older than 12 yearsold by July 2007. Totally 757 patients older than 12 yearsold from March 2005 to April 2006 underwent renal biopsy under local anesthesia as controls. The success rate of renal biopsy, postoperative complications and quantity of glomerulus were compared between the two groups.    Results The two groups matched in age [(28.52±12.73) vs (30.46±11.83), P>0.05]. The successful rate by single puncture of painless renal biopsy was higher than that of biopsy under local anesthesia (95% vs 92%, P<0.05). The quantity of glomerulus obtained by painless renal biopsy was higher than that by biopsy under local anesthesia [(21.5±5.72) vs (17.4±4.67), P<0.05]. Gross hematuria occurred in 4 cases and perirenal hematoma in 2 cases after painless renal biopsy, while gross hematuria in 6 cases and perirenal hematoma in 3 cases after biopsy under local anesthesia. The incidence of lumbago after painless renal biopsy was lower than that after biopsy under local anesthesia (18.3% vs 35.2%).    Conclusion Painless renal biopsy is a novel kind of renal biopsy, safe and efficacious.

参考文献/References:

余荣杰,赵洪雯,李敛,等. 静脉麻醉下无痛肾活检759例的有效性及安全性评价[J].第三军医大学学报,2008,30(2):98-100.

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更新日期/Last Update: 2008-04-29