Bach D, Hanraths M, Maar K, Grabensee B
Department of Nephrology, University of Düsseldorf, FRG.
Int Urol Nephrol. 1988;20(5):519-23. doi: 10.1007/BF02550614.
Sixty-four percutaneous renal biopsies under ultrasound guidance done in 60 patients with renal impairment are compared with 33 open, operative biopsies. In 62 percutaneous biopsies (96.8%), more than 3 glomeruli could be obtained. Eight biopsies (12.5%) presented with minor complications afterwards. All of them were spontaneously reversible. In the operative biopsy group, there were complications in 6 patients (18.2%). In 2 cases, operative revision was necessary. In conclusion, percutaneous ultrasound guided biopsy in experienced hands offers several advantages in patients with renal impairment. It must be kept in mind that from a minority of patients only an operative biopsy can be taken due to certain risks.
对60例肾功能损害患者在超声引导下进行的64例经皮肾活检与33例开放性手术活检进行了比较。在62例经皮活检（96.8%）中，可获取3个以上肾小球。8例活检（12.5%）术后出现轻微并发症，均自发可逆。手术活检组有6例患者（18.2%）出现并发症，2例需要手术修正。总之，经验丰富者进行的超声引导下经皮活检对肾功能损害患者有诸多优势。必须牢记，由于某些风险，少数患者只能进行手术活检。
