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[经皮肾活检在某临床中心经验中的诊断价值及安全性]

[Diagnostic value and safety of percutaneous kidney biopsy in experience of one clinical center].

作者信息

Adamczyk Piotr, Legaszewski Tomasz, Banaszak Beata, Szczepańska Maria, Morawiec-Knysak Aurelia, Głowacki Jan, Szprynger Krystyna, Gabriel Andrzej

机构信息

Katedra i Klinika Pediatrii w Zabrzu Slaskiego Uniwersytetu Medycznego w Katowicach.

出版信息

Pol Merkur Lekarski. 2008;24 Suppl 4:51-5.

Abstract

UNLABELLED

Percutaneous kidney biopsy is a widely applied diagnostic procedure providing with kidney tissue for microscopy.

AIM OF THE STUDY

The assessment of diagnostic value of kidney tissue specimens gained by percutaneous biopsy and the assessment of that method's safety.

MATERIAL

119 percutaneous kidney biopsies performed on patients of Pediatric Clinic in Zabrze from 1998 through 2007 were analysed.

RESULTS

Histopathological diagnosis was assessed in 107 cases (90%). The other 12 specimens (10%) were described by the pathomorphologist as non-diagnostic. In analysed group of patients serious complications were noted in 5 cases (4.2%): massive haematuria (in 2 cases), massive bleeding in perirenal space (in 3 cases including 1 resulting in nephrectomy).

CONCLUSIONS

Percutaneous kidney biopsy is a valuable diagnostic procedure. Because of possible complications it is very important to comply with indications and contraindications established for that procedure.

摘要

未标注

经皮肾活检是一种广泛应用的诊断方法,可为显微镜检查提供肾组织。

研究目的

评估经皮活检获取的肾组织标本的诊断价值以及该方法的安全性。

材料

对1998年至2007年在扎布热儿科诊所对患者进行的119例经皮肾活检进行了分析。

结果

107例(90%)进行了组织病理学诊断。另外12份标本(10%)被病理形态学家描述为无法诊断。在分析的患者组中,5例(4.2%)出现严重并发症:大量血尿(2例)、肾周间隙大量出血(3例,其中1例导致肾切除术)。

结论

经皮肾活检是一种有价值的诊断方法。由于可能出现并发症,遵守该方法规定的适应证和禁忌证非常重要。

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