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改良肾细针穿刺活检在肾小球疾病中的诊断价值

Diagnostic value of modified fine-needle aspiration biopsy of the kidney in glomerular diseases.

作者信息

Helin H

出版信息

Acta Pathol Microbiol Scand A. 1980 Mar;88(2):75-81. doi: 10.1111/j.1699-0463.1980.tb02469.x.

DOI:10.1111/j.1699-0463.1980.tb02469.x
PMID:7368936
Abstract

43 renal fine-needles aspirates, obtained with a modified sampling technique were subjected to ultrastructural examination with the aim of assessing the diagnostic value of this method in various glomerular diseases. Findings in the aspiration specimens, consisting of solitary glomeruli, were regarded as diagnostic in 35% of the cases. When considered together with clinical data, the fine-needle aspiration biopsies were suggestive of diagnosis or provided valuable information in a further 49% of the cases. Due to the small outer diameter of the fine-needle, 0.7 mm, complications following this kind of biopsy are practically negligible. Thus, it offers a safe alternative to the conventional renal biopsy methods utilizing large-bored cutting needles in cases where biopsies with these methods are contraindicated.

摘要

采用改良采样技术获取43份肾细针穿刺抽吸物,对其进行超微结构检查,目的是评估该方法在各种肾小球疾病中的诊断价值。抽吸标本中的发现,由单个肾小球组成,在35%的病例中被视为具有诊断意义。当与临床数据一起考虑时,细针穿刺活检在另外49%的病例中提示诊断或提供了有价值的信息。由于细针外径较小,为0.7毫米,这种活检后的并发症实际上可以忽略不计。因此,在传统肾活检方法(使用大口径切割针)禁忌活检的情况下,它为这些病例提供了一种安全的替代方法。

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