超声引导下的肾活检:十年回顾性单中心经验与临床催眠的前景。

IF 1.8 4区 医学 Q3 UROLOGY & NEPHROLOGY
International Urology and Nephrology Pub Date : 2025-02-01 Epub Date: 2024-09-06 DOI:10.1007/s11255-024-04196-1
Andrea Angioi, Giacomo Mascia, Danilo Sirigu, Riccardo Cao, Paola Bianco, Daniela Onnis, Matteo Floris, Gianfranca Cabiddu, Antonello Pani, Nicola Lepori
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引用次数: 0

摘要

这项回顾性分析调查了 2010 年至 2021 年期间在阿尔纳斯-布罗楚医院进行的 682 例肾脏活组织检查的结果和并发症。我们的研究结果表明,轻微并发症发生率为 9.1%,严重并发症发生率为 0.3%,极为罕见。年龄不会导致风险增加,这说明该手术在各个年龄段都很安全。从2019年4月到2023年12月,临床催眠被纳入了一部分患者(n = 45)的活组织检查方案。90%以上的患者表示对手术没有感觉,60%的患者没有疼痛感。根据 STAY-Y 测试评分,这种方法大大降低了患者术后的焦虑感(p = 0.001);该组患者未出现大、小并发症。我们的研究再次证实,肾活检术中出现严重并发症的风险非常低,同时也强调了辅助临床催眠在提高患者舒适度和手术过程中的合作性方面的潜在益处。这项探索为进一步研究改善患者体验和肾活检手术效果开辟了一条前景广阔的道路。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ultrasound-guided kidney biopsy: a ten-year retrospective single-center experience and the promising role of clinical hypnosis.

This retrospective analysis investigates the outcomes and complications of 682 kidney biopsies performed at ARNAS G. Brotzu from 2010 to 2021. Our findings indicate a minor complication rate of 9.1%, with severe complications being exceedingly rare at 0.3%. Age did not contribute to an increased risk, underscoring the procedure's safety across age groups. Clinical hypnosis was incorporated into the biopsy protocol in a subset of patients (n = 45) from April 2019 to December 2023. Over 90% of these patients reported no perception of the procedure, and 60% experienced no pain. According to STAY-Y test scores, this approach significantly reduced anxiety post-procedure (p = 0.001); no major or minor complications were observed in this group. While our study reaffirms the very low risk of severe complications in kidney biopsies, it also highlights the potential benefits of adjunct clinical hypnosis in enhancing patient comfort and cooperation during the procedure. This exploration opens a promising avenue for further investigation to improve patient experiences and procedural outcomes in kidney biopsies.

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来源期刊
International Urology and Nephrology
International Urology and Nephrology 医学-泌尿学与肾脏学
CiteScore
3.40
自引率
5.00%
发文量
329
审稿时长
1.7 months
期刊介绍: International Urology and Nephrology publishes original papers on a broad range of topics in urology, nephrology and andrology. The journal integrates papers originating from clinical practice.
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