|
| Efficacy of Ultrasonography-Guided Renal Biopsy for the Evaluation of Renal Dysfunction Following Renal Transplantation |
|
| Young Jae Kim, M.D. Chul Soon Choi, M.D., Seon Jeong Min, M.D., Gyung Kyu Lee, M.D., Eil Seong Lee, M.D.,Ik Won Kang, M.D., Sang Hoon Bae, M.D. |
|
| Department of Radiology, Hallym University College of Medicine |
|
| PURPOSE : To evaluate the usefulness and complications of renal biopsy under ultrasonography-guidance in renal
dysfunction after renal transplantation.
MATERIALS and METHODS : Ultrasonography-guided renal biopsy was done in 47 patients with the transplanted kidney.
The subjects consisted of 30 males and 17 females, age ranged from 16 to 66 years (average age = 38
years). Biopsies were done once in 27 patients, twice in 17 patients, three times in 3 patients, a total of 70 biopsies.
The success rate of renal biopsy for the accurate pathologic diagnosis and the incidence and types of complications
following biopsy were evaluated.
RESULTS : The success rate of renal biopsy for the accurate pathologic diagnosis was 96%(67/70). Pathologic diagnosis
included 27 cases of acute rejection(39%), 8 cases of acute tubular necrosis(11%), 4 cases of acute rejection
and acute tubular necrosis(6%), 4 cases of cyclosporin toxicity(6%), 4 cases of primary disease recurrence(
6%), 4 cases of infection(6%) and others. Complications after renal biopsy included 15 cases of microscopic
hematuria(21%), 1 case of gross hematuria with spontaneous cessation and 1 case of life threatening hemorrhage.
CONCLUSION : Ultrasonography-guided renal biopsy is a safe and effective diagnostic method for the evaluation of
renal dysfunction following renal transplantation. |
|
| Keyword : Kidney, transplantation Kidney, function Kidney, US Ultrasound (US), guidance |
|
pdf파일 : 209-212 김영재.pdf 
|
|
> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 2003 ; 22 (4) : p.209-212
