在中国的超声导向皮肤脏活检时出血的分析:一项回顾性研究
Fang-Fang Li1, Yu-Xia Guan2, Tong-Xin Li3
1Department of Endocrinology, Peking Union Medical College Hospital, Peking, China.
International urology and nephrology
|November 22, 2023
概括
超声导向脏活检有37.70%的出血风险,受患者的性别,BMI和活检前血小板等因素的影响. 仔细的术后管理和流体监测对于减少并发症至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 放射学 放射学是一门学科.
- 临床医学 临床医学
背景情况:
- 超声导向皮肤活检 (PRB) 是慢性病 (CKD) 诊断的黄金标准.
- 活检后出血是一种常见的并发症,严重的病例可能导致切除术或死亡.
- 在确保活检成功的同时,尽量减少并发症仍然是临床研究的一个关键领域.
研究的目的:
- 为了确定与超声波引导PRB后的活检后出血相关的危险因素.
- 分析出血并发症的发生率和相关的患者特征.
- 为改善脏活检程序的术后管理策略提供信息.
主要方法:
- 活检数据库的回顾性分析.
- 包括2017年9月至2020年12月接受超声波引导PRB的1146名患者.
- 使用SPSS软件进行统计分析,以评估并发症风险因素.
主要成果:
- 活检后整体出血率为37.70%.
- 出血的危险因素包括女性性别,较低的BMI,较低的活检前血小板计数,长时间的APTT,较高的专蛋白水平和术后4小时内排尿.
- 没有报告死亡;小出血发生在29.41%的患者中,大出血发生在0.96%的患者中.
结论:
- 活检后出血的发生率是显著的,并且与特定的患者和程序因素有关.
- 强调全面风险评估和量身定制的术后护理的重要性.
- 强调需要在超声波引导的PRB后进行警的流体管理,以减轻出血风险.
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