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Bleeding complications post ultrasound guided renal biopsy – A single centre experience from Pakistan

机译:超声引导下肾活检后出血并发症–来自巴基斯坦的一个中心经验

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Introduction Renal biopsy is the diagnostic modality of choice for the diagnosis of renal parenchymal diseases. The advent of improved imaging techniques and biopsy needles over the years has increased the safety of the procedure and the ability to obtain adequate renal tissue for diagnosis. However, there is paucity of data in this regard from Pakistan. This study shall help in establishing the local perspective of the frequency of bleeding complications in percutaneous ultrasound guided renal biopsy. Materials and methods This is a prospective case series of hospitalized patients from January till December 2015?at Nephrology Department, Aga Khan University Hospital, Karachi, Pakistan. After enrolment, each participant was followed for 24?h after renal biopsy. Results A total of 220 patients were included. Mean age was 41.65?±?8.627 years, 82 (37.2%) were male and 138 (62.8%) were female. Pre and post biopsy haemoglobin, pre and post biopsy haematocrit were 10.92?±?1.25 and 10.60?±?1.22, and 30.82?±?4.73 and 30.49?±?4.68 respectively. Out of 220 patients, 16 (7.27%) developed major complications and 26 (11.8%) developed minor complications in 24?h after renal biopsy. Conclusions Percutaneous kidney biopsy is a relatively safe procedure. Complication rates following the procedure are minimal. It is important that all nephrology programs train the trainees in performing biopsies, so that there is a wider clinical use of this important investigation even in underprivileged & developing countries. Highlights ? Percutaneous kidney biopsy is a relatively safe procedure. ? Complication rates following the procedure are minimal. ? All nephrology programs must train the trainees in performing biopsies.
机译:引言肾活检是诊断肾实质疾病的首选诊断方式。多年来,改进的成像技术和活检针的出现增加了手术的安全性以及获得足够的肾脏组织进行诊断的能力。但是,巴基斯坦在这方面的数据很少。这项研究将有助于建立经皮超声引导下肾活检出血并发症发生频率的局部观点。材料和方法这是一组预期患者病例系列,于2015年1月至2015年12月在巴基斯坦卡拉奇市阿加汗大学医院肾内科住院。入组后,对每个参与者进行肾脏活检后随访24小时。结果共纳入220例患者。平均年龄为41.65±8.627岁,男性为82(37.2%),女性为138(62.8%)。活检前后血红蛋白,活检前后血细胞比容分别为10.92±±1.25和10.60±±1.22,以及30.82±±4.73和30.49±±4.68。在220例患者中,肾活检后24小时内有16例(7.27%)出现了严重并发症,而26例(11.8%)出现了轻微并发症。结论经皮肾穿刺活检是一种相对安全的方法。遵循该程序的并发症发生率极低。重要的是,所有肾脏病学计划都要培训受训者进行活检,这样即使在贫困国家和发展中国家,这项重要研究也得到了更广泛的临床应用。强调 ?经皮肾活检是一个相对安全的程序。 ?遵循该程序的并发症发生率极低。 ?所有肾脏病学计划都必须培训受训者进行活检。

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