経皮腎生検による有害事象発生率:コアキアルまたは非コアキアル技術
Münteha Çakmakçi Sözen1, Demet Gündüz2, İbrahim Metin Çiriş3
1Department of Radiology, Süleyman Demirel University Medical Faculty, Isparta, Turkey.
Medicine
|August 27, 2025
まとめ
経皮腎生検の同軸技術では,非同軸方法よりも軽度から中等度の有害事象 (AE) が少ない. この研究では,硬化性小球体は有害事象に影響を与えなかった.
科学分野:
- 腎臓科
- 介入放射線学
- 医療機器技術
背景:
- 腎臓病の診断には 皮膚経由の腎臓生検が不可欠です
- バイオプシー中の有害事象 (AE) を最小限に抑えることは,患者の安全のために不可欠です.
- 同軸および非同軸の技術が用いられ,合併症に対する影響は様々である.
研究 の 目的:
- 皮経腎生検における同軸対非同軸の安全性と有効性を比較する.
- AEsの発生率に対する硬化性球体の影響を評価する.
- 腎臓生検の手続きにおける有害事象に寄与する要因を特定する.
主な方法:
- 超音波による経皮腎臓生検を受けた239人の患者の遡及分析.
- 同軸生検と非同軸生検の有害事象の比較
- 硬化性小球体と有害事象の相関性の評価
主要な成果:
- 同軸療法では,軽度から中等度の有害事象が著しく減少した (1. 1% vs 14. 5%).
- 2つのテクニックの間で重度の有害事象の有意な違いは観察されなかった.
- カプセルを通過する回数は同軸技術で著しく減少した.
- 硬化性小球体と有害事象の間の相関は見つかりませんでした.
結論:
- 経腎生検では,軽度から中等度の有害事象の発生率が低い.
- 両方とも重度の有害事象の発生率が類似していることが示された.
- スクレロスの結晶は,生検後の有害事象の有意な要因とは見なされない.
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