White R H, Poole C
Department of Nephrology, Children's Hospital, Ladywood Middleway, Birmingham, United Kingdom.
Pediatr Nephrol. 1996 Aug;10(4):408-11. doi: 10.1007/s004670050130.
Over the 6 years 1989-1994, 384 percutaneous renal biopsies were performed, 329 on native and 55 on transplanted kidneys. Biopsy was undertaken on a day care basis in 304 instances (79.2%). Failure to obtain 5 or more glomeruli was experienced in 23 (6.0%) of the 304 day care biopsies. There were no significant differences in technical failure rates between day care patients and inpatients, local analgesia and general anaesthetic, or native and transplanted kidneys, but a higher rate was observed in biopsies performed unaided by trainees than by experienced operators (P = 0.002). Six patients were detained overnight for minor complications and a seventh for unrelated reasons. Two patients discharged on the day of biopsy despite gross haematuria were readmitted 8-10 days later with secondary haemorrhage. The complication rate of 2.6% compares favourably with published data. Few paediatric renal units currently perform day care renal biopsy, and we recommend its wider acceptance.
在1989年至1994年的6年间，共进行了384例经皮肾活检，其中329例针对自体肾，55例针对移植肾。304例（79.2%）在日间病房进行活检。在304例日间病房活检中，有23例（6.0%）未能获取5个或更多肾小球。日间病房患者与住院患者、局部麻醉与全身麻醉、自体肾与移植肾之间的技术失败率无显著差异，但未经受训人员协助而由经验丰富的操作人员进行的活检失败率更高（P = 0.002）。6例患者因轻微并发症留院过夜，另有1例因无关原因留院。2例活检当日虽有肉眼血尿仍出院的患者在8 - 10天后因继发性出血再次入院。2.6%的并发症发生率优于已发表的数据。目前很少有儿科肾脏科室开展日间病房肾活检，我们建议更广泛地采用这种方式。
