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題 名 | Renal Biopsy with Automated Biopsy Devices: Experience of 211 Cases=以自動腎切片設備做腎生體檢查之經驗 |
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作 者 | 李文正; 方基存; 黃秋錦; | 書刊名 | 中華民國腎臟醫學會雜誌 |
卷 期 | 8:1 1994.03[民83.03] |
頁 次 | 頁24-31 |
分類號 | 415.74 |
關鍵詞 | Percutaneous renal biopsy; Real-time ultrasound automated biopsy devices; |
語 文 | 英文(English) |
中文摘要 | 目的:為評估在實時間超音渡引導下用自動彈簧發射切片槍做經皮腎生體檢查的結果及其術後的各種併發症。設計:從民國 80 年 1 月起至 81 年 8 月止,於本院合於腎生體檢查適應症者,包括腎病症候群,紅斑佐狼瘡腎炎、血尿、蛋白尿、急性腎衰竭等疾病而無出血傾向者經病人同意後始給予做腎生體檢查,使用設備包括 (1) 自動彈簧發射切片槍 ,(2)18 號生體切片針,(3) 引導切片針之超音波探頭。病人:總計有 204 人接受腎生體組織檢查,平均年齡為 33.9 歲 (15-80 歲 ) 。生體驗查前的臨床診斷計有腎病症候群 111 人(52.6%),IgA腎病 38 人 (18.0%), 紅斑性狼瘡腎炎 30 人 (14.2%),蛋白尿 12 人 (5.7%),血尿 6 人 (2.8%), 急性腎衰竭 5 人 (2.4%),急性腎絲球腎炎 3 人 (1.4%), 慢性腎絲球腎炎 3 人 (1.4%) 。結果:本院腎生體組織檢查後之併發症包 括 73 例顯微下血尿 (34.6%),41 例肉眼可見之血尿 (19.4%),36 例腰側酸痛 (17.l%),19例解尿困難 (9.0%),13 例穿刺部位疼痛(6.2%),10 例腹痛 (4.7%),7 例腎周血腫(3.3%),4 例因血管迷走效應引起之暫時性低血壓 (1.9%),2 例發燒 (0.9%), 無出血性休克 及接受輸血的情況 , 在 211 例腎生體組織檢查中,有 95.7% 經由光學顯微鏡,免疫螢光顯微鏡和電子顯微鏡診斷出病理結果, 其中以 IgA 腎病 (19.4%), 微變化性腎病 (12.3%), 紅斑 性狼瘡腎炎 (11.4%) 較為常見。 結論:在實時間超音波引導下用自動彈簧 發射切片槍來做腎生體組織檢查為一種準確、 安全、少嚴重併發症及高成功率的方法,為腎生體組織檢查中值得推薦的一種方法。 |
英文摘要 | We described our experiences in using automated biopsy devices as a new technique for percutaneous renal biopsy in our hospital between January 1991 to August 1992. The method combines the use of an automated spring fired biopsy gun, an 18- gauge Biopty-cut needle and a needle guide attached to an electronic linear puncture probe that allows renal-time ultrasound scanning throughout the procedure. Its advantages and complications were evaluated by histopathological examination, urine analysis, symptoms, signs and nursing records of the patients. Two hundred and eleven biopsies were reviewed retrospectively. The average age of the patients was 33.9 years (range 15- 80). The leading indications for renal biopsy were nephrotic syndrome (52.6%) and IgA nephropathy (18.0%). Adequate tissue for histologic diagnosis was obtained in 95.7% of patients. Pathologic diagnosis included IgA nephropathy (19.4%) and minimal change disease (12.3%). Although major complications included microscopic hematuria (34.6%) and gross hematuria (19.49%), no blood transfusion or surgical intervention was required. This method is simple, providing accurate localization of the kidney, and results in a very high success rate. Intrarenal needle dwelling time is kept to a minimum and there were only minor complications. It is recommended as the treatment of choice for renal biopsy. |
本系統中英文摘要資訊取自各篇刊載內容。