The study of relationship between perirenal hematoma and pathological type after renal biopsy
10.3760/cma.j.issn.1673-4904.2013.22.012
- VernacularTitle:肾活检术后并发肾周血肿与病理类型关系的研究
- Author:
Jinlan LIAO
;
Yue ZHANG
;
Fan ZHANG
;
Zaiqiang CHEN
;
Meng WU
;
Zuying XIONG
- Publication Type:Journal Article
- Keywords:
Biopsy,needle;
Hematoma;
Kidney;
Pathologic types
- From:
Chinese Journal of Postgraduates of Medicine
2013;36(22):34-36
- CountryChina
- Language:Chinese
-
Abstract:
Objective The clinical data of postoperative perirenal hematoma after renal biopsy in recent 10 years were retrospectively analyzed,and its relationship with pathological type was explored.Methods From April 2003 to April 2013,2062 patients of renal biopsy were enrolled and divided into 3 groups:youth group (18-39 years,1634 cases),middle age group (40-59 years,323 cases) and aged group (≥60 years,105 cases).Relationship between renal hematoma and pathology was analyzed.Results There were 1370,255,69 cases of primary glomerular disease respectively in 3 groups,and 264,68,36 cases of secondary glomerular diseases.Three hundred and seventy-nine in all patients were complicated with perirenal hematoma,and the incidence rates were 15.8％ (325/2062),1.8％ (37/2062),0.8％ (17/2062) respectively.Incidence rate of hematoma in primary glomerular disease was higher than that in secondary diseases [19.0％ (322/1694) vs.15.5％ (57/368)].Three most common primary glomerular disease in which perirenal hematoma occured was IgA nephropathy 7.4％ (126/1694),focal/segmental lesions 4.2％(71/1694) and membranous nephropathy 2.4％ (41/1694); while the incidence rate of lupus nephritis hematoma was as high as 9.0％ (33/368).Conclusion Single-center data shows that the most common pathology types of perirenal hematoma are lupus nephritis,IgA nephropathy,focal/segmental lesions and membranous nephropathy.
