穿刺工具及方向的选择在肾穿刺活检术中的研究进展

纪肖 张(承德医学院研究生院，中国;)
彦聪 郭(保定市第一中心医院，中国;)

摘要

肾脏疾病指由各种原因引起的肾脏结构、功能的损害，从而导致肾脏病理损伤、血液或尿液成分异常等病症。其最终会导致尿毒症，并逐渐成为危害人类生命的主要原因。超声引导下经皮肾穿刺活检术是诊断各种肾脏疾病的金标准。本研究将通过对穿刺工具及穿刺方向在经皮肾穿刺活检术中的临床研究进行分析和总结，以期为临床实践工作中提高穿刺成功率以及减少患者术后出血并发症的发生提供更多证据。

关键词

肾脏疾病；经皮肾穿刺活检术；取材结果；并发症

参考

Delanaye P, Scheen AJ. EMPA-KIDNEY: empagliflozin in chronic kidney disease. Rev Med Liege. 2023 Jan;78(1):24-28.

Ene-Iordache B, Perico N, et al. Chronic kidney disease and cardiovascular risk in six regions of the world (ISN-KDDC): a cross-sectional study. Lancet Glob Health. 2016 May; 4(5): e307-19.

Zhang L, Wang F, et al. Prevalence of chronic kidney disease in China: a cross-sectional survey. Lancet. 2012 Mar 3; 379(9818): 815-22.

Rothenbacher D. Rehm M. lacoviello L, et al. Contribution of cystatin C- and creatinine-based definitions of chronic kidney disease to cardiovascular risk assessment in 20 population-based and 3 disease cohorts: the BiomarCaRE project [J]. BMC Med, 2020, 18(1): 300.

Hard GC, lohnson KJ. Cohen SM. A comparison of rat chronic progressive nephropathy with human renal disease-implications for human risk assessment [J]. Crit Rev Toxicol, 2009, 39(4): 332-346.

Donovan KL, Thomas DM, Wheeler DC, et al. Experience with a new method for percutaneous renal biopsy [J]. Nephrol Dial Transpl, 1991; 6(10): 731–733.

Kark RM, Muehrcke RC and Pirani CL. Biopsy of the kidney in the prone position [J], Lancet 1954; 266: 1047–1049.

Muehrcke RC, Kark RM and Pirani CL. A technique of percutaneous renal biopsy in the prone position [J]. J Urol, 1955; 74: 267–277.

Kark RM, Muehrcke RC, Pollak VE, et al. An analysis of 500 percutaneous renal biopsies [J]. Arch Intern Med, 1958; 101: 439–451.

Luciano RL, Moeckel GW. Update on the Native Kidney Biopsy: Core Curriculum 2019. Am J Kidney Dis. 2019 Mar; 73(3): 404-415.

Najafian B, Lusco MA, Alpers CE, et al. Approach to kidney biopsy: core curriculum 2022. Am J Kidney Dis. 2022; 80(1): 119–131.

Luciano RL, Moeckel GW. Update on the Native Kidney Biopsy: Core Curriculum 2019. Am J Kidney Dis. 2019 Mar; 73(3): 404-415.

Lim CY, Khay SL. Bleeding complications after percutaneous kidney biopsies - nationwide experience from Brunei Darussalam. World J Nephrol. 2023 Dec 25; 12(5): 147-158.

Poggio ED, McClelland RL, Blank KN, et al. Kidney Precision Medicine Project. Systematic Review and Meta-Analysis of Native Kidney Biopsy Complications. Clin J Am Soc Nephrol. 2020 Nov 6; 15(11): 1595-1602.

李思倩,孙婧,蒋栋,等. 自体肾经皮肾穿刺活检术后出血并发症的危险因素分析 [J]. 临床肾脏病杂志, 2020, 20 (10): 769-774.

成涛, 程璐, 苟慎菊. 经皮肾穿刺活检术后出血的风险因素分析[J]. 华西医学, 2023, 38 (07): 1082-1085.

Gill HS, Prausnitz MR. Does needle size matter? J Diabetes Sci Technol. 2007 Sep; 1(5): 725-9.

Peters B, Mölne J, Hadimeri H, et al. Sixteen gauge biopsy needles are better and safer than 18 gauge in native and transplant kidney biopsies. Acta Radiol. 2017; 58(2): 240–248.

Zhan T, Lou A. Comparison of outcomes of an 18-gauge vs 16-gauge ultrasound-guided percutaneous renal biopsy: a systematic review and meta-analysis. Ren Fail. 2023; 45(2): 2257806.

Peters B, Mölne J, Hadimeri H, et al. Sixteen gauge biopsy needles are better and safer than 18 gauge in native and transplant kidney biopsies. Acta Radiol. 2017; 58(2): 240–8.

Sousanieh G, Whittier WL, Rodby RA, et al. Percutaneous renal biopsy using an 18-Gauge automated needle is not optimal. Am J Nephrol. 2020; 51(12): 982–987.

中国抗癌协会肿瘤介入学专业委员会,中国抗癌协会肿瘤介入学专业委员会胸部肿瘤诊疗专家委员会.胸部肿瘤经皮穿刺活检中国专家共识(2020版) [J].中华医学杂志,2021,101(3):185-198.

Fotiadis N, De Paepe KN, Bonne L, et al. Comparison of a coaxial versus non-coaxial liver biopsy technique in an oncological setting: diagnostic yield, complications and seeding risk. Eur Radiol. 2020 Dec; 30(12): 6702-6708.

Babaei Jandaghi A, Lebady M, Zamani AA, et al. A Randomised Clinical Trial to Compare Coaxial and Noncoaxial Techniques in Percutaneous Core Needle Biopsy of Renal Parenchyma. Cardiovasc Intervent Radiol. 2017 Jan; 40(1): 106-111.

Fung KFK, Cheng KK, Chan EY, et al. Percutaneous ultrasound-guided renal biopsies in a paediatric population: comparison of coaxial and non-coaxial techniques using 18-gauge core biopsy needles. Pediatr Radiol. 2022 Nov; 52(12): 2431-2437.

黄磊, 陈珍珍, 左巍, 等. 同轴针在超声引导经皮肾穿刺活检中的应用价值 [J]. 中国超声医学杂志, 2023, 39 (09): 1022-1025.

Komatsu H, Yamashita T, Osanami A, et al. Straightforward and immediate ultrasound-guided kidney biopsy using a guide needle technique to get adequate tissue with reduced procedural time. Clin Exp Nephrol. 2024 Aug 22.

Hatfield MK, Beres RA, Sane SS, Zaleski GX. Percutaneous imaging-guided solid organ core needle biopsy: Coaxial versus non-coaxial method. AJR Am J Roentgenol, 2008; 190: 413–7.

Prasad N, Kumar S, Manjunath R, et al. Real-time ultrasound-guided percutaneous renal biopsy with needle guide by nephrologists decreases post-biopsy complications. Clin Kidney J, 2015, 8: 151–6.

吴杰,廖婷婷,黄龙,等. 普通探头配支架超声引导下斜角进针肾活检术一次取材法的应用研究 [J]. 中国医学装备, 2021, 18 (10): 64-68.

孙医学. 超声引导下对肾活检技术改进的临床应用及探讨[J]. 中国超声医学杂志, 2014, 30(10): 947-949.

Sawicka K, Hassan N, Dumaine C, et al. Direction of the Biopsy Needle in UltrasoundGuided Renal Biopsy Impac ts Specimen Adequacy and Risk of Bleeding[J]. Can Assoc Radiol J, 2019, 70(4): 361-366.

Rao NS, Chandra A. Needle guides enhance tissue adequacy and safety of ultrasoundguided renal biopsies[J]. Kidney Res Clin Pract, 2018, 37(1): 41-48.

Narayan P, Shashi K, Revanasiddappa M, et al. Real-time ultrasound-guided percutaneous renal biopsy with needle guide by nephrologists decreases post-biopsy complications[J]. Clin Kidney J, 2015, 8(2): 151-156.

吴岭, 高珺, 娄可新, 等. 超声引导下巴德穿刺枪在肾活检的临床应用分析[J]. 中华全科医学, 2015, 13(11): 68-69,88.

Narayan Prasad, Rahul Shukla, Manas Behera, et al. Comparison of yield and complications of craniocaudal versus caudocranial needle trajectory for kidney biopsy [J].The Journal of Vascular Access , 2020, 21(1): 73–78.

Jaturapisanukul S, Chavanisakun C, Benjakul N, et al. Cranial versus Caudal Direction Technique of Native Percutaneous Kidney Biopsy: A Randomized Controlled Trial[J]. Int J Nephrol Renovasc Dis, 2023, 28(16): 93-101.

DOI: http://dx.doi.org/10.12345/yzlcyxzz.v8i1.23402