CAJ | 학술논문

目的通过对518例超声引导下自动肾活检穿刺角度的分析,探讨超声引导下肾活检穿刺的最佳角度.方法在彩色多普勒超声引导下,使用配有穿刺架的3.5 MHz探头,分别与水平面成40°(X组)、45°(Y组)、60°(Z组)和70°(P组),进行肾活组织检查穿刺.结果 518例患者总成功率为100%,其中,Y组和Z组一次成功率均达100%(Y组164/164;Z组186/186);X组一次成功率为47.8%(22/46),P组一次成功率为84.4%(103/122).结论超声引导下自动肾活检角度在与水平方向成45°～60°之间安全、成功率较高,且可避免并发症的发生.
목적 통과대518례초성인도하자동신활검천자각도적분석,탐토초성인도하신활검천자적최가각도.방법 재채색다보륵초성인도하,사용배유천자가적3.5 MHz탐두,분별여수평면성40°(X조)、45°(Y조)、60°(Z조)화70°(P조),진행신활조직검사천자.결과 518례환자총성공솔위100%,기중,Y조화Z조일차성공솔균체100%(Y조164/164;Z조186/186);X조일차성공솔위47.8%(22/46),P조일차성공솔위84.4%(103/122).결론 초성인도하자동신활검각도재여수평방향성45°～60°지간안전、성공솔교고,차가피면병발증적발생.
Objective To elevate the achievement rate of kidney biopsy puncture through the analysis of puncture angle choice of ultrasound guided automatic kidney biopsy in 518 patients. Methods Under the guidance of color Doppler ultrasound,using the 3.5MHz probe with probe holder,we performed kidney biopsy in the degrees of 40°(group X),45°(group Y),60°(group Z) and 70°(group P) with the horizontal plane. Resnlts The total achievement ratio is 100 %. The one time success rate in group Y and group Z is 100 % (group Y, 164/164 ; group Z, 186/186) ;group X is 4.8% (22/46) ;group P is 84.4% (103/122).Conclusion The automatic kidney biopsy an- gle under the guidance of ultrasound should be between 45° and 60° with the horizontal plane which is safe and has higher achievement ratio. In the meantime, complications can be avoided.