RENAL BIOPSY IN CHILDREN - INDICATIONS, TECHNIQUE AND EFFICACY IN 119 CONSECUTIVE CASES

被引:32
作者
BOHLIN, AB
EDSTROM, S
ALMGREN, B
JAREMKO, G
JORULF, H
机构
[1] Department of Paediatrics, Karolinska Institute, Huddinge Hospital, Huddinge
[2] Department of Clinical Pathology, Karolinska Institute, Huddinge Hospital, Huddinge
[3] Department of Radiology, Karolinska Institute, Huddinge Hospital, Huddinge
关键词
RENAL BIOPSY; BIOPSY TECHNIQUE; COMPLICATIONS;
D O I
10.1007/BF00860748
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Consecutive renal biopsies were performed on native kidneys in 109 children and adolescents, aged 0.1-19.8 (mean 9.9) years (119 biopsies), Bleeding diatheses were excluded or treated pre-operatively with intravenous desmopressin acetate. Biopsies were performed by a radiologist under ultrasound imaging, using an automated spring-loaded device allowing selection of the length of the needle movement and score size. Diagnostically adequate tissue was retrieved in 118 of 119 (99.2%) biopsy procedures; 24-h post-biopsy ultrasonography disclosed a small haematoma of the biopsied kidney in 26% of the cases. No correlation was seen between the occurrence of haematoma and (treated) prolonged bleeding time or a decrease in the haemoglobin level. No major complications occurred. Newly developed macroscopic haematuria was reported by 7% and micturition pain by 7% of patients. Painful body movements were reported by 37%. We conclude that the use of ultrasound imaging and an automated gunshot technique is a safe and efficient method for performing renal biopsies in paediatric patients.
引用
收藏
页码:201 / 203
页数:3
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