Renal biopsy in type 2 diabetes: timing of complications and evaluating of safety in Chinese patients.

作者: PEI-PEI ZHANG , YONG-CHUN GE , SHI-JUN LI , HONG-LANG XIE , LEI-SHI LI

DOI: 10.1111/J.1440-1797.2010.01369.X

关键词:

摘要: Aim:  It has been recognized that renal lesions in patients with diabetes often have other causes of damage concomitantly. Renal biopsy is a valuable tool to provide histological evidence. However, the safety type 2 receiving not well evaluated. This study was conducted monitor dynamic complications and evaluate diabetic patients. Methods:  A prospective observation performed on 130 150 undergoing biopsy. The were monitored at 4 h, 8 h, 24 h, 48 h 72 h sequentially after biopsy. Results:  Haematoma observed 34 (26.15%) 50 (33.33%) controls (P = 0.19). timing large haematoma peaked 4 h. Gross haematuria occurred 12 (9.23%) eight (5.33%) (P = 0.207). happened mainly within 8 h. pathological diagnosis showed 96 (73.85%) cases nephropathy non-diabetic disease. Conclusion:  safe. frequency no higher than those without diabetes. mostly especially Biopsy also very necessary rule out chronic diseases

参考文章(25)
D.C. Mendelssohn, E.H. Cole, Outcomes of percutaneous kidney biopsy, including those of solitary native kidneys American Journal of Kidney Diseases. ,vol. 26, pp. 580- 585 ,(1995) , 10.1016/0272-6386(95)90592-8
Philip W. Ralls, Jerome A. Barakos, Elaine M. Kaptein, Paul E. Friedman, George Fouladian, William D. Boswell, James Halls, Shaul G. Massry, Renal biopsy-related hemorrhage: frequency and comparison of CT and sonography. Journal of Computer Assisted Tomography. ,vol. 11, pp. 1031- 1034 ,(1987) , 10.1097/00004728-198711000-00021
Patrick D. Walker, Ramesh Nair, Jane M. Bell, Renal biopsy in patients aged 80 years and older American Journal of Kidney Diseases. ,vol. 44, pp. 618- 626 ,(2004) , 10.1053/J.AJKD.2004.05.044
David M. Burstein, Melvin M. Schwartz, Stephen M. Korbet, Percutaneous Renal Biopsy with the Use of Real-Time Ultrasound American Journal of Nephrology. ,vol. 11, pp. 195- 200 ,(1991) , 10.1159/000168303
Jeffrey L. Glickman, Carl D. Malchoff, Benjamin C. Sturgill, Donald L. Kaiser, Kline Bolton, Essilfie Amoah, Clinical identification of nondiabetic renal disease in diabetic patients with type I and type II disease presenting with renal dysfunction. American Journal of Nephrology. ,vol. 8, pp. 204- 211 ,(1988) , 10.1159/000167584
Masaaki Eiro, Tetsuo Katoh, Tsuyoshi Watanabe, Risk factors for bleeding complications in percutaneous renal biopsy. Clinical and Experimental Nephrology. ,vol. 9, pp. 40- 45 ,(2005) , 10.1007/S10157-004-0326-7
Balakuntalam S. Kasinath, Salim K. Mujais, Benjamin H. Spargo, Adrian I. Katz, Nondiabetic renal disease in patients with diabetes mellitus The American Journal of Medicine. ,vol. 75, pp. 613- 617 ,(1983) , 10.1016/0002-9343(83)90442-4
J. Christensen, S. Lindequist, D. Ulrik Knudsen, R. Smith Pedersen, Ultrasound-guided renal biopsy with biopsy gun technique--efficacy and complications. Acta Radiologica. ,vol. 36, pp. 276- 279 ,(1995) , 10.1177/028418519503600313
Sandra M Soares, Fernando C Fervenza, Donna J Lager, Morie A Gertz, Fernando G Cosio, Nelson Leung, None, Bleeding complications after transcutaneous kidney biopsy in patients with systemic amyloidosis: single-center experience in 101 patients. American Journal of Kidney Diseases. ,vol. 52, pp. 1079- 1083 ,(2008) , 10.1053/J.AJKD.2008.05.022