肾活检并发症的发生频率和时间。

Pub Date : 2024-01-01 DOI:10.22088/cjim.15.1.10
Maryam Pakfetrat, Leila Malekmakan, Anahid Hamidianjahromi, Razieh Rastegar
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引用次数: 0

摘要

背景:经皮肾活检是诊断肾脏疾病的主要工具。在这项研究中,我们对肾活检并发症和并发症发生的时间进行了评估:方法:我们对接受肾活检的成年患者进行了横断面研究。数据收集表收集了患者的特征。并发症分为轻微并发症和需要干预的严重并发症。数据使用 SPSS 和 P 值进行分析:这项横断面研究的对象是在设拉子尼玛兹医院接受经皮肾活检的 215 名患者(平均年龄:33.1±16.4 岁,54.4% 为女性),为期一年。在发生的 298 例并发症中,90.2% 为轻微并发症(56.1% 为镜下血尿)。此外,有 2 名(0.7%)患者出现了严重并发症并接受了输血。此外,大多数并发症(98.9%,295 例)发生在术后 8 小时内。只有女性的血红蛋白下降率明显更高(41.0% 对 21.4%,P=0.003):本研究表明,肾活检是一种安全的手术;研究结果显示,活检后的重大并发症很少发生,且多发生在术后 8 小时内。
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Frequency and timing of renal biopsy complications.

Background: Percutaneous renal biopsy is the primary diagnostic tool for renal diseases. In this study, we evaluated renal biopsy complications and the timing of complications.

Methods: A cross-sectional study was performed on adult patients who underwent renal biopsy. The data gathering sheet collected patient characteristics. Complications were categorized as minor and major which needed an intervention. Data were analyzed using SPSS, and a p-value <0.05 was considered significant.

Results: This cross-sectional study was conducted on 215 patients (mean age: 33.1±16.4 and 54.4%: women) who underwent percutaneous renal biopsy in Shiraz Nemazi Hospital for one year. Of the 298 complications that occurred, 90.2% were minors (56.1%of them microscopic hematuria). Moreover, 2 (0.7%) patients developed major complications and received a transfusion. In addition, most of the complications (98.9%, 295 ones) developed within 8 hours post-procedure. Only hemoglobin drop was significantly higher in women (41.0% vs. 21.4%, P=0.003).

Conclusion: This study indicates that renal biopsy is a safe procedure; the results revealed that the significant post-biopsy complications were rare and occurred in the first 8 hours.

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