使用16和18尺针进行儿科本科脏活检的充分性和安全性
Petr Ananin1, Anastasiia Milovanova2, Kirill Kulikov2
1National Medical Research Centre for Children's Health, Lomonosovskiy pr., 2 str 1, 119991, Moscow, Russian Federation. ananin@nczd.ru.
Pediatric nephrology (Berlin, Germany)
|September 22, 2025
概括
对于儿科脏活检,18度针对于12岁以下的儿童来说更安全,而16度针对于年长的儿童来说更能产生更好的核心充分性. 针的尺寸影响了儿科脏病学中的并发症风险和诊断产量.
科学领域:
- 儿科脏病学 儿科脏病学
- 干预性病学 干预性病学
- 诊断程序 诊断程序 诊断程序
背景情况:
- 原生活检对于诊断儿科脏疾病至关重要.
- 之前关于针头大小和并发症的研究主要是针对成年人.
- 有限的数据存在于儿科原生脏活检的安全性和核心充分性.
研究的目的:
- 为了比较16尺针与18尺针在儿科本土脏活检中的安全性和核心充分性.
- 识别针的尺寸是儿童并发症和样本不足的风险因素.
主要方法:
- 对1040名接受超声波导向本源脏活检的儿科患者进行了回顾性分析.
- 包括2018年至2024年期间使用16度或18度针进行的活检数据.
- 多变量回归分析,以评估针头大小对并发症和核心充分性的影响.
主要成果:
- 在9.9%的患者中发生出血并发症;0.3%需要输血.
- 16度针与12岁以下儿童的并发症风险增加有关.
- 18尺针与较高的核不足率 (4.5%) 有关.
结论:
- 与18度针相比,16度针可以提高核心的充分性.
- 18度针在12岁以下的儿童中提供了安全优势.
- 建议在12岁以上的儿童中使用16度针进行本源脏活检,因为安全性相似,充足性更好.
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