Percutaneous renal biopsy: Three years of experience with the Biopty® gun in 761 cases - A survey of results and complications

被引：19

作者：

Bach D. ^{[1
]}

Wirth C. ^{[1
]}

Schott G. ^{[1
]}

Hollenbeck M. ^{[2
]}

Grabensee B. ^{[2
]}

机构：

[1] Dept. of Nephrology and Dialysis, General Hospital Krefeld

[2] Dept. of Nephrology and Dialysis, Heinrich-Heine-Univ. Düsseldorf

来源：

International Urology and Nephrology | 1999年 / 31卷 / 1期

关键词：

Public Health; Glomerulonephritis; Renal Biopsy; Allograft Kidney; Native Kidney;

D O I：

10.1023/A:1007159420448

中图分类号：

学科分类号：

摘要：

From 1.1. 1993 to 12.31. 1995 we performed 761 consecutive biopsies on 509 non-selected patients. The most frequent diagnoses in 351 biopsies (39.4%) on native kidneys were 262 cases of glomerulonephritis (74.6%) and 167 of so-called benign nephrosclerosis (47.6%). With 410 biopsies (60.6%) on allograft kidneys 219 cases (78%) showed signs of interstitial rejection, 14 cases (5%) vascular and 49 cases (17%) interstitial as well as vascular rejection. Only after 5 biopsies (0.66%) clinical relevant complications (3 perirenal haematomas, 1 AV fistula, 1 vesical tamponade) appeared. Again percutaneous renal biopsy is proven to be a diagnostically efficient and safe tool at the same time even when used in a large number of non-selected patients, so that an ambulant performance may be discussed. The relatively frequent diagnosis of a so-called benign nephrosclerosis seems to indicate the need for an intensified examination of this disease.

引用

页码：15 / 22

页数：7

共 9 条

[1]

Gauthier B.G., Mahadeo R.S., Trachtman H., Techniques for percutaneous renal biopsies, Pract. Pediatr. Nephrol., 7, (1993)

[2]

Helmchen U., Aktuelles zur Nephrosklerose, Verh. Dtsch. Ges Pathol., 73, (1989)

[3]

Hoppner W., Zantvoort F.A., Lison A.-E., Dreikom K., Automatische ultraschallgesteuerte Feinnadelbiopsie der Transplantatniere, Urologie, 33, (1994)

[4]

Madaio M.P., Renal biopsy, Kidney Int., 38, (1990)

[5]

Parrish A.E., Complications of percutaneous renal biopsy: A review of 37 years' experience, Clin Nephrol, 38, 3, (1992)

[6]

Renner E., Nierenbiopsie - Indikation und Aussagekraft, Dtsch. Ärzteblatt, 88, 18, (1991)

[7]

Riehl J., Maigatter S., Kierdorf H., Schmitt H., Maurin N., Sieberth H.G., Percutaneous renal biopsy: Comparison of manual and automated puncture technique with native and transplanted kidneys, Nephrol. Dial. Transplant., 9, (1994)

[8]

Solez K., Et al., International standardization of criteria for the histologic diagnosis of renal allograft rejection: The Banff working classification of kidney transplant pathology, Kidney Int, 44, (1993)

[9]

Zollinger H.U., Mihatsch M.J., Renal Pathology in Biopsy, pp. 3-4, (1978)

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