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目的回顾性分析B超指引下肾活检穿刺术在肾小球疾病的诊断、治疗和估计预后方面的意义。方法在B超引导下肾活检穿刺78例。结果 78例肾小球疾病中临床与病理诊断相符共50例(64.1%),明确诊断及修正诊断共28例(35.9%),改变治疗30例(38.4%),预后估计修正例24例(30.7%)。结论肾脏病理与临床有一定程度的相关性,B超引导下肾活检穿刺对明确诊断,指导治疗,判断预后有一定价值。
Objective To retrospectively analyze the significance of renal biopsy under the guidance of ultrasound in the diagnosis, treatment and prognosis of glomerular diseases. Methods 78 patients underwent renal biopsy guided by B-ultrasound. Results There were 50 cases (64.1%) of 78 glomerular diseases diagnosed with pathological diagnosis, 28 cases (35.9%) were diagnosed and corrected correctly, 30 cases (38.4%) were changed and 24 cases were evaluated 30.7%). Conclusions There is a certain degree of correlation between renal pathology and clinical manifestations. B-guided renal biopsy can be a definite diagnosis, guide treatment and prognosis.