Bakdash Kenaz, Schramm Kristofer M, Annam Aparna, Brown Matthew, Kondo Kimi, Lindquist Jonathan D
Division of Vascular and Interventional Radiology, Department of Radiology, University of Colorado, Anschutz Medical Center, Aurora, Colorado.
Semin Intervent Radiol. 2019 Jun;36(2):97-103. doi: 10.1055/s-0039-1688422. Epub 2019 May 22.
Percutaneous renal biopsy is widely used for diagnosis, prognosis, and management of nephropathies. Complications may arise after renal biopsy, most commonly in the form of bleeding. Efforts should be taken to optimize modifiable risk factors such as hypertension, thrombocytopenia, and coagulopathy prior to the procedure. Unmodifiable risk factors such as poor renal function, gender, and underlying histologic diagnosis may be used to identify high-risk patients. Delayed presentation of bleeding complications is common, and close clinical follow-up is crucial.
经皮肾活检广泛应用于肾病的诊断、预后评估及治疗。肾活检后可能会出现并发症，最常见的形式是出血。在进行该操作前，应努力优化可改变的风险因素，如高血压、血小板减少症和凝血病。诸如肾功能差、性别及潜在组织学诊断等不可改变的风险因素可用于识别高危患者。出血并发症的延迟出现很常见，密切的临床随访至关重要。
