摘要
目的:探讨超声引导下肾穿刺活检后局部血肿形成影响因素分析。方法:选取2018年2月—2020年3月我院在超声引导下实施肾穿刺患者56例进行研究,根据患者穿刺后是否发生血肿分为血肿组和无血肿组,对两组患者一般和相关临床资料进行收集,分析影响超声引导下肾穿刺活检后血肿形成危险因素。结果:单因素分析得出,CKD分期、肾脏距离皮下深度、穿刺次数、术中配合度在血肿组和无血肿组患者中比较有统计学意义(P>0.05)。多因素分析得出,影响超声引导下肾穿刺活检后局部血肿危险因素为CKD分期(OR=3.214,P<0.05)、肾脏距离皮下深度(OR=2.654,P<0.05)、穿刺次数(OR=2.885,P<0.05)、术中配合度(OR=3.164,P<0.05)。结论:超声引导下肾穿刺活检后血肿形成影响因素较多,针对性进行预防和干预,对降低患者术后血肿发生风险有重要价值。
Objective To explore the influencing factors of local hematoma formation after ultrasound-guided renal biopsy.Methods Select 56 case of ultrasound guided renal puncture patients in our hospital during Feb.,2018~Mar.,2020 as studying object,Divided into hematoma group and non-hematoma group according to whether hematoma occurred after puncture,The general and relevant clinical data of the two groups of patients were collected,and the risk factors affecting the formation of hematoma after renal biopsy under ultrasound guidance were analyzed.Results Univariate analysis showed that the CKD stage,the depth of the kidney from the skin,the number of punctures,and the degree of intraoperative coordination were statistically significant between the hematoma group and the non-hematoma group(P>0.05).According to multi-factor analysis,the risk factors for local hematoma after ultrasound-guided renal biopsy were CKD stage(OR=3.214,P<0.05),depth of kidney from subcutaneous(OR=2.654,P<0.05),and number of punctures(OR=2.885,P<0.05),intraoperative coordination(OR=3.164,P<0.05).Conclusion Ultrasound-guided renal biopsy has many influencing factors for hematoma formation,and targeted prevention and intervention are of great value in reducing the risk of postoperative hematoma.
作者
李深福
李文金
Li Shenfu;Li Wenjin(Department of Ultrasound Medicine,The Traditional Chinese Medicine Hospital of Guangdong Province,Zhuhai Hospital,Zhuhai,Guangdong 519000,China)
出处
《影像研究与医学应用》
2020年第18期25-27,共3页
Journal of Imaging Research and Medical Applications
关键词
超声
肾穿刺
活检
血肿
Ultrasound
Renal puncture
Biopsy
Hematoma
