Blasco Casares F J, Pinsach Elias L, Ibarz Servio L, Valero Milián J, Areal Calama J, Bucar Terrades S, Saladié Roig J M
Servicio de Urología y Cirugía del Trasplante, Hospital Universitario de Badalona Germans Trias i Pujol, Barcelona, España.
Arch Esp Urol. 1991 Jul-Aug;44(6):673-6.
Two techniques are utilized for renal biopsy (RB): open renal biopsy (ORB) and percutaneous renal biopsy (PRB). We reviewed 283 renal biopsies: 140 ORBs and 143 PRBs. The number of glomeruli obtained were 34.6 and 13.4, respectively. Sufficient biopsy material for the pathological analyses was obtained in 100% of the ORBs and 91% of the PRBs. These were diagnostic in 98.5% and 91%, respectively. The two groups were significantly different. Patients submitted to ORB had a worse general condition (analytically more uremic and anemic). The creatinine and urea values prior to RB were higher for the complicated ORB group versus the overall ORB group. Statistically, the complicated ORB group is related with hyperpotassemia and hypernatremia. The sodium values were higher and the urea values were lower for the complicated ORB group, although we believe the foregoing findings to have no clinical value. The remaining analytical studies were not different for the groups or subgroups of the present study.
肾活检(RB)采用两种技术:开放性肾活检(ORB)和经皮肾活检(PRB)。我们回顾了283例肾活检病例:140例开放性肾活检和143例经皮肾活检。获得的肾小球数量分别为34.6个和13.4个。100%的开放性肾活检和91%的经皮肾活检获得了足够用于病理分析的活检材料。这些病例的诊断率分别为98.5%和91%。两组有显著差异。接受开放性肾活检的患者总体状况较差(分析显示尿毒症和贫血更严重)。复杂开放性肾活检组肾活检前的肌酐和尿素值高于开放性肾活检总体组。从统计学上看,复杂开放性肾活检组与高钾血症和高钠血症有关。复杂开放性肾活检组的钠值较高而尿素值较低,尽管我们认为上述发现无临床价值。本研究的各组或亚组的其余分析研究结果无差异。