Greenbaum L A, Simckes A M, McKenney D, Kainer G, Nagaraj S K, Trachtman H, Alon U S
Medical College of Wisconsin, Department of Pediatrics, Milwaukee 53226, USA.
Pediatr Nephrol. 2000 Nov;15(1-2):66-9. doi: 10.1007/s004670000417.
Technological improvements have reduced the frequency of complications in children receiving a percutaneous renal biopsy. No study has systematically compared the safety of open and percutaneous kidney biopsy. Yet many nephrologists consider a single native kidney an absolute contraindication to percutaneous biopsy. We have established an international registry of single native kidney biopsies in children and we now report our early results. Eight biopsies are included. Seven patients had percutaneous biopsies and one an open biopsy. None of the patients had major complications, and adequate tissue was obtained from all. Our limited experience indicates that the presence of a single native kidney is not an absolute indication for an open approach. We encourage our colleagues to report to the international registry in order to further document the safety of percutaneous biopsy of the single native kidney in children.
技术进步降低了接受经皮肾活检儿童的并发症发生率。尚无研究系统比较开放性和经皮肾活检的安全性。然而，许多肾病学家认为单个正常肾脏是经皮活检的绝对禁忌证。我们建立了一个国际儿童单个正常肾脏活检登记处，现报告我们的早期结果。共纳入8例活检病例。7例患者接受了经皮活检，1例接受了开放性活检。所有患者均未出现严重并发症，且均获取了足够的组织。我们有限的经验表明，单个正常肾脏的存在并非开放性活检的绝对指征。我们鼓励同事们向国际登记处报告，以便进一步记录儿童单个正常肾脏经皮活检的安全性。
