Curtis J J, Rakowski T A, Argy W P, Schreiner G E
Nephron. 1976;17(4):259-69. doi: 10.1159/000180730.
As more information is gained on the long-term survival in chronic dialysis and transplant patients, it is unacceptable to be satisfied with a clinical impression of the etiology of the end stage renal failure in each case. It becomes important to know the histological diagnosis in patients who present with terminal renal failure. In the past there was little to offer such individuals in terms of therapeutics, and their prognosis was uniformly poor. Thus, biopsy for other than academic reasons was difficult to justify. This is no longer true and presented here is a series of 28 such patients in whom percutaneous renal biopsy was performed. The complications and diagnostic yield are reported. It is further demonstrated that the added knowledge of histological diagnosis can be of benefit to the individual patient.
随着我们对慢性透析患者和移植患者长期存活情况的了解越来越多，仅满足于对每例终末期肾衰竭病因的临床判断已无法令人接受。对于出现终末期肾衰竭的患者，了解其组织学诊断变得至关重要。过去，针对这些患者几乎没有有效的治疗方法，他们的预后普遍很差。因此，很难为除学术研究之外的活检找到合理依据。但现在情况已非如此，本文介绍了一系列28例接受经皮肾活检的此类患者。报告了活检的并发症及诊断结果。进一步证明，组织学诊断所带来的更多信息对个体患者是有益的。
