Finan B F, Brewer T E, Hughes R D, Wellons J A
Central Arkansas Urology Clinic, Little Rock.
Am J Nephrol. 1989;9(4):300-2. doi: 10.1159/000167984.
Fifty consecutive patients underwent a modified open renal biopsy using bronchial forceps under general anesthesia. A small incision (2-3 cm) was made, and several small pieces of renal tissue (5-7) were excised in each case. Adequate tissue for diagnosis was obtained in 100% of the biopsies. Morbidity was minimal, and no deaths occurred as a result of biopsy. Traditionally, the open renal biopsy consists of a large incision (7-10 cm) with a deep wedge excision. It is significant that the modified technique provided a high tissue yield (the average number of glomeruli was 80) with few complications. This tissue yield was significantly higher than that usually seen with percutaneous needle biopsy.
连续50例患者在全身麻醉下使用支气管钳进行改良开放式肾活检。做一个小切口（2 - 3厘米），每例切除几块小的肾组织（5 - 7块）。100%的活检都获得了足够用于诊断的组织。发病率极低，且无活检导致的死亡病例。传统上，开放式肾活检需要做一个大切口（7 - 10厘米）并进行深部楔形切除。值得注意的是，改良技术能提供高组织获取量（平均肾小球数量为80个）且并发症少。这种组织获取量显著高于经皮穿刺活检通常所见的量。
