Prognostic Factors for Complications Following Ultrasound-Guided Percutaneous Kidney Biopsy: A 7-Year Retrospective Study.

IF 1.4 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-08-06 DOI:10.1002/jcu.70020

Sehyun Jung, Seunghye Lee, Hyejin Jeon, Hani Jang, Se-Ho Chang, Hyun-Jung Kim

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引用次数: 0

Abstract

Introduction: Ultrasound-guided percutaneous kidney biopsy is a key diagnostic tool, but it carries a risk of complications. This study aimed to evaluate complication rates and identify associated clinical and procedural factors.

Methods: This retrospective study analyzed 627 patients who underwent ultrasound-guided percutaneous kidney biopsy between January 2013 and December 2019. Logistic regression models were used to assess associations between complications and potential risk factors, adjusting for demographics, clinical characteristics, and procedural variables.

Results: Complications occurred in 75% of patients, with hematoma (69.7%) being the most frequent, followed by pain (14.5%). Older age (adjusted odds ratio [OR], 0.99; 95% confidence interval [CI], 0.97-1; p = 0.024). Obesity (adjusted OR, 0.5; 95% CI, 0.34-0.74; p < 0.001) and smoking (adjusted OR, 0.57; 95% CI, 0.36-0.9; p = 0.015) were associated with a reduced risk of complications.

Conclusions: Complications were common following ultrasound-guided percutaneous kidney biopsy; however, the majority were minor and clinically manageable. Older age, obesity, and smoking were independently associated with a lower risk of complications. These findings highlight the overall safety of the procedure and emphasize the importance of individualized risk assessment in clinical practice.

查看原文本刊更多论文

超声引导下经皮肾活检术后并发症的预后因素：一项7年回顾性研究。

超声引导下的经皮肾活检是一种关键的诊断工具，但它有并发症的风险。本研究旨在评估并发症发生率并确定相关的临床和手术因素。方法：本回顾性研究分析了2013年1月至2019年12月期间接受超声引导下经皮肾活检的627例患者。Logistic回归模型用于评估并发症与潜在危险因素之间的关系，并根据人口统计学、临床特征和程序变量进行调整。结果：并发症发生率为75%，其中血肿发生率最高（69.7%），疼痛发生率次之（14.5%）。高龄(校正优势比[OR]， 0.99；95%置信区间[CI]， 0.97-1；p = 0.024)。肥胖(校正OR， 0.5；95% ci, 0.34-0.74；p结论：超声引导下经皮肾活检术后并发症较多；然而，大多数是轻微的和临床可控制的。年龄较大、肥胖和吸烟分别与较低的并发症风险相关。这些发现强调了手术的总体安全性，并强调了个体化风险评估在临床实践中的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.