Rapaccini G L, Pompili M, Caturelli E, Amadei E, Aliotta A, Grattagliano A, Savini E, Anti M
Istituto di Clinica Medica, Università Cattolica del Sacro Cuore, Rome, Italy.
Surg Endosc. 1989;3(1):42-5. doi: 10.1007/BF00591315.
The usefulness of real-time ultrasonography as a guidance method in performing percutaneous renal biopsy is evaluated on the basis of a series of 114 patients with diffuse nephropathies. Sufficient renal tissue for light microscopy was obtained in 102 patients (89.5%) and enough for electron microscopy in 93 patients (81.6%) and for fluorescence microscopy in 91 patients (79.8%). A final histological diagnosis was possible in 106 patients (93%). The high diagnostic rate, the reduction in the contraindications to the procedure, the lack of major postbiopsy complications, and the cost effectiveness probably make realtime ultrasound scanning the method of choice when performing renal biopsy in patients with diffuse nephropathies.
基于114例弥漫性肾病患者的系列研究，评估实时超声检查作为经皮肾活检引导方法的实用性。102例患者（89.5%）获取了足够用于光学显微镜检查的肾组织，93例患者（81.6%）获取了足够用于电子显微镜检查的肾组织，91例患者（79.8%）获取了足够用于荧光显微镜检查的肾组织。106例患者（93%）获得了最终的组织学诊断。高诊断率、该操作禁忌证的减少、活检后缺乏严重并发症以及成本效益，可能使实时超声扫描成为弥漫性肾病患者进行肾活检时的首选方法。
