Pinsach Elías L, Blasco Casares F J, Ibarz Servió L, Valero Milián J, Areal Calama J, Bucar Terrades S, Saladié Roig J M
Servicio de Urología y Cirugía del Transplante, Hospital Universitario de Badalona Germans Trias i Pujol.
Actas Urol Esp. 1991 May-Jun;15(3):240-3.
Retrospective study made on 140 renal surgical biopsies (RSB) performed throughout the past 4 years in our Unit. The technique's effectiveness and morbidity are emphasized and the surgical technique and type of anaesthesia described. The sample obtained was enough to perform an essay in 100% cases, and a diagnosis was reached in 98.5%. Thirty-nine patients (27.8%) presented complications, 13 (9.2%) of which were directly related to the surgical technique. No case required blood transfusion and no deaths were reported. The type of anaesthesia used was: local plus sedation in 104 (74.2%) cases, rachianaesthesia in 10 (7.1%) and general in 26 (18.5%). The same approach was used in all patients: minimal subcostal lumbotomy, using Wilde's forceps to obtain the samples. It is believed that RSB is a highly effective, low mortality procedure, easy and quick to perform, and suitable for selected patients.
对本单位过去4年进行的140例肾外科活检（RSB）进行回顾性研究。强调了该技术的有效性和发病率，并描述了手术技术和麻醉类型。所获得的样本足以在100%的病例中进行检测，98.5%的病例得出了诊断结果。39例患者（27.8%）出现并发症，其中13例（9.2%）与手术技术直接相关。无一例需要输血，也未报告死亡病例。所使用的麻醉类型为：104例（74.2%）采用局部麻醉加镇静，10例（7.1%）采用蛛网膜下腔麻醉，26例（18.5%）采用全身麻醉。所有患者均采用相同的方法：经肋下小切口，使用怀尔德钳获取样本。认为肾外科活检是一种高效、低死亡率的手术，操作简便快捷，适用于特定患者。
