目的：探讨超声引导下肾自动活检术在基层医院的临床应用及意义。方法回顾性分析46例超声引导下应用自动活检枪和16G活检针取肾组织标本患者的临床资料，分析取材成功率及并发症发生情况。结果本组46例患者，平均进针次数（2．56±0．5）次，取材成功率为100％，病理诊断率为100％。术后出现血尿46例（100．0％），肾周血肿5例（10．9％），肾窦出血、膀胱积血1例（2．2％）。结论超声引导下肾自动活检术是一种取材成功率高、操作简便、严重并发症少及风险较小的组织学取材方法，值得在基层医院推广。%Objective To evaluate the application of ultrasound-guided percutaneous renal biopsy in a pri-mary hospital and its clinical significances.Methods The kidney tissue specimens of 46 patients were taken using ultrasound-guided automatic biopsy gun and 16 G biopsy needle.The clinical data, successful rate of sampling and complications were analyzed.Results For 46 patients, the average times of puncture were (2.56 ±0.5), with a successful rate of sampling in 100% and a pathological diagnosis rate in 100%.The hematuria rate was 100.0%(46/46) after the operation.Perirenal hematoma rate was 10.9%(5/46) and renal sinus bleeding and/or bladder hemorrhage rate was 2.2%( 1/46 ) .Conclusion Ultrasound-guided automatic renal biopsy is a simple and safe method for kidney tissue sampling with a high successful rate, and less complications in the primary hospital.
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