CAJ | 학술논문

目的：超声引导下经皮肾活检术已成为儿童肾病诊断、治疗与判断预后重要的工具。文中探讨儿童在超声引导下经皮肾活检后发生并发症的原因。方法回顾性分析236例肾病患儿在超声引导下经皮肾活检后发生并发症的情况，包括性别、年龄、肾组织取材长度、穿刺次数、病种等因素，通过多因素回归性分析建立二分类Logistic回归分析，评价各因素在儿童超声引导下经皮肾活检术后并发症中的影响。结果236例患儿肾活检术后共有22例出现肉眼血尿、疼痛等并发症（9．3％），未发生严重并发症，并发症的发生与肾组织取材长度有关（OR＝1．566， P＝0．005），而与儿童年龄、性别、穿刺次数、病种无明显相关性（P＞0．05）。结论儿童超声引导下经皮肾穿刺活检术是一种成功率高、并发症少的方法，提高穿刺技术及超声定位的准确性，有助于减少并发症的发生。
목적：초성인도하경피신활검술이성위인동신병진단、치료여판단예후중요적공구。문중탐토인동재초성인도하경피신활검후발생병발증적원인。방법회고성분석236례신병환인재초성인도하경피신활검후발생병발증적정황，포괄성별、년령、신조직취재장도、천자차수、병충등인소，통과다인소회귀성분석건립이분류Logistic회귀분석，평개각인소재인동초성인도하경피신활검술후병발증중적영향。결과236례환인신활검술후공유22례출현육안혈뇨、동통등병발증（9．3％），미발생엄중병발증，병발증적발생여신조직취재장도유관（OR＝1．566， P＝0．005），이여인동년령、성별、천자차수、병충무명현상관성（P＞0．05）。결론인동초성인도하경피신천자활검술시일충성공솔고、병발증소적방법，제고천자기술급초성정위적준학성，유조우감소병발증적발생。
Objective This study was to analyze the causes of the complications of ultrasound -guided percutaneous renal bi-opsy in children . Methods We retrospectively analyzed the complications of ultrasound-guided percutaneous renal biopsy in 236 children along with the age, sex, sample length, times of puncture, and types of disease of the patients .We used the binary Logistic regression model to analyze the influences of various factors on the post -biopsy complications . Results After renal biopsy , 22 (9.3%) of the patients experienced various degrees of but no severe complications .The incidence of complications was significantly correlated with the sample length (P<0.05), but not with the age, sex, sample length, times of puncture, and types of disease of the patients. Conclusion Ultrasound-guided percutaneous renal biopsy is an effective diagnostic method for children , with a high suc-cess rate and a low incidence of complications .And the incidence of complications can be reduced by improving the skills of puncturing and accuracy of ultrasound positioning .