CAJ | 학술논문

目的：探讨超声引导下使用自动活检枪行肾穿刺活检的临床应用价值。方法选取119例患者，其中男性61例、女性58例；年龄15~77岁，平均（41.38±14.62）岁。穿刺点选择在右肾下极肾皮质较厚部位，2%利多卡因局部麻醉后，在超声显示下沿引导线进针，取出组织条后快速放入10%甲醛溶液内固定和0.9%NaCl溶液内保存，分别送电子显微镜、光学显微镜及免疫荧光检查。结果119例患者共穿刺392针次，取出组织条长度3~20 mm，均符合病理学检查要求。术后发生镜下血尿46例，占38.7%；肉眼血尿11例，占9.2%；肾周血肿4例，占3.4%。119例患者术后均无严重并发症。结论彩超引导下自动活检枪行肾穿刺活检操作简洁、定位准确、成功率高、创伤小，还可避免严重并发症，对肾病的早期诊断与治疗具有重要意义。
목적：탐토초성인도하사용자동활검창행신천자활검적림상응용개치。방법선취119례환자，기중남성61례、녀성58례；년령15~77세，평균（41.38±14.62）세。천자점선택재우신하겁신피질교후부위，2%리다잡인국부마취후，재초성현시하연인도선진침，취출조직조후쾌속방입10%갑철용액내고정화0.9%NaCl용액내보존，분별송전자현미경、광학현미경급면역형광검사。결과119례환자공천자392침차，취출조직조장도3~20 mm，균부합병이학검사요구。술후발생경하혈뇨46례，점38.7%；육안혈뇨11례，점9.2%；신주혈종4례，점3.4%。119례환자술후균무엄중병발증。결론채초인도하자동활검창행신천자활검조작간길、정위준학、성공솔고、창상소，환가피면엄중병발증，대신병적조기진단여치료구유중요의의。
Objective To investigate the value of kidney biopsy performed with ultrasound-guided automatic biopsy gun. Methods A total of 119 patients (61 males and 58 females) aged 15-77 years old were selected. The thicker cortex of lower pole of the right kidney was selected as puncture point. After local anesthesia with 2% lidocaine, the ultrasound-guided needle was inserted along the puncture line. The removed tissue stripes were placed in 10% formalin solution for quickly fixation and normal saline for preservation. And then the samples were sent for examination by electron microscopy, light microscopy and immunofluorescence. Results A total of 392 biopsies were performed in 119 cases. The length of removed tissue strips were 3-20 mm and met the requirements of pathological examination. The postoperative microscopic hematuria occurred in 46 cases (38.7%), gross hematuria in 11 cases (9.2%), and perirenal hematoma in 4 cases. There were no serious complications in all cases. Conclusion The kidney biopsy performed with ultrasound-guided automatic biopsy gun is simple with accurate positioning, high success rate and less invasion and complications. It is important in the early diagnosis and therapy of renal diseases.