Methods: By chart review, from July 2005 to July 2009, a total of 99 PRBs were performed on 91 children (43 girls and 48 boys mean age, 10.9 ± 4.4 years under ultrasound (US guidance, by a doctor, using an automated 18-gauge biopsy needle following the same protocol, at a medical center in northern Taiwan. In addition, we explored the role of PRBs in the diagnosis of children who presented with persistent asymptomatic hematuria. In this study, the safety and efficacy of PRB is investigated, and also the common etiologies of childhood kidney disease, based on histological findings.
Percutaneous ultrasound-guided renal biopsy in children: The need for renal biopsy in pediatric patients with persistent asymptomatic microscopic hematuriaĭirectory of Open Access Journals (Sweden)įull Text Available Background: Percutaneous renal biopsy (PRB is essential for the diagnosis, prognosis, and management of children with unknown kidney disease. In asymptomatic patients with microscopic hematuria, significant US abnormalities are rare All patients with renal disease or significant anatomic abnormalities presented with gross hematuria and/or associated abnormalities in history, physical examination, or urinalysis. Bladder wall thickening was the most common abnormality. Forty-five presented with microscopic hematuria. Increased echogenicity was the most common abnormality. Thirty-two presented with gross hematuria. Patients with known renal disease, trauma, mass, infection, or severe pain were excluded.
The authors reviewed the renal US clinical evaluation, and laboratory data of 78 pediatric patients referred for asymptomatic hematuria. International Nuclear Information System (INIS)īrody, A.S. Renal US in children with asymptomatic hematuria
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