Bolton W K, Vaughan E D
J Urol. 1977 Jun;117(6):696-8. doi: 10.1016/s0022-5347(17)58590-0.
Percutaneous renal biopsy was performed on 171 patients during the same interval as an open surgical biopsy was done on 100 patients in the same hospital. Patients who underwent an open biopsy had more severe renal dysfunction and hypertension than those who had a percutaneous biopsy. Tissue adequate for diagnosis was obtained in 100 per cent of the open biopsies. The kidney was reached in 88 per cent of all percutaneous biopsies with tissue adequate for diagnosis in 82.5 per cent. Of 87 patients biopsied with image-amplification fluoroscopy renal tissue was obtained in 97 per cent with tissue adequate for diagnosis in 92 per cent. No nephrectomies were done and no deaths occurred in either group. Our complications and yield by percutaneous biopsy compared favorably to those of other series. Further, open biopsy in a high risk population was associated with a high yield of tissue adequate for diagnosis with no increase in complications. Procurement of renal tissue need rarely be denied a patient if a biopsy is clinically indicated.
在同一时期，对171例患者进行了经皮肾活检，同时在同一家医院对100例患者进行了开放性手术活检。接受开放性活检的患者比接受经皮活检的患者有更严重的肾功能不全和高血压。在100%的开放性活检中获得了足够用于诊断的组织。在所有经皮活检中，88%的患者成功取材肾脏，其中82.5%的组织足够用于诊断。在87例接受图像放大荧光镜活检的患者中，97%的患者获得了肾组织，其中92%的组织足够用于诊断。两组均未进行肾切除术，也未发生死亡。与其他系列研究相比，我们经皮活检的并发症和取材成功率更优。此外，在高危人群中进行开放性活检可获得高比例的足够用于诊断的组织，且并发症没有增加。如果临床表明需要活检，很少有患者会被拒绝获取肾组织。
