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目的:探讨基层医院运用肾活检术的临床意义,并对其安全性进行评估。方法:在B超引导下用BARDMAGNUM自动穿刺枪对52例肾脏病患者做肾活检术,将临床诊断与病理诊断作比较分析。结果:采用BARDMAGNUM自动穿刺枪的穿刺成功率为93.7%,术前临床误诊率为10.7%,术前诊断不明率为46.2%,术后全部病理确诊,术后治疗方案有较大修改的占23.1%。结论:采用BARDMAGNUM自动穿刺枪经皮超声引导肾活检术并发症少,风险小,在基层医院开展具有可行性;肾活检术的开展可明确诊断肾脏疾病,正确指导治疗及准确估计预后。
Objective: To explore the clinical significance of renal biopsy in primary hospitals and to evaluate its safety. Methods: Fifty-two cases of nephrotic patients underwent renal biopsy with BARDMAGNUM automatic puncture gun. The clinical diagnosis and pathological diagnosis were compared. Results: The successful rate of puncture using BARDMAGNUM automatic puncture gun was 93.7%. The preoperative clinical misdiagnosis rate was 10.7%. The preoperative unidentified rate was 46.2%. All the postoperative pathological findings were confirmed. The postoperative revisions of 23.1 %. Conclusion: Percutaneous ultrasound-guided renal biopsy using BARDMAGNUM automatic puncture gun has fewer complications and less risk, and is feasible in primary hospitals. Renal biopsy can clearly diagnose kidney disease, correctly guide the treatment and accurately estimate the prognosis.