How much do you know about kidney puncture

There are many types of kidney disease. Different kidney disease has different treatment. But clinical manifestation is similar. At present, biopsy is a common inspection method for diagnosing the type of kidney disease. But how much do you know about renal biopsy?

What condition the patients cannot do biopsy?

At present, recognized contraindication has solitary kidney(only has one kidney or just one kidney has function), obvious bleeding tendency(low platelet, poor blood coagulation function), severe hypertension, mental disease, kidney infection, kidney cancer, kidney position is too high, chronic kidney failure etc. but when the clinical symptoms are controlled, some patients still can do biopsy.

What is the complications of biopsy?

Hematuria

Almost 100% of patients have microscopic haematuria, most of patients can disappear within 1-2 days automatically. But minority patients will appear gross hematuria, it can disappear automatically after several days if the patient’s condition is stable. If the urine color is dark obviously, even like blood, or there is blood clot in the urine, which can indicate bleeding is bigger. And the blood pressure can decrease any time, so have to deal with it urgently. If the conservative treatment is not effect, the patients can choose renal arteriography embolism or surgical treatment.

perirenal hematoma

Incidence rate is high. Most of them is asymptomatic small hematoma, no need to do with it. If the hematoma is big, the patients have to limit their movement. If it necessary, the patients have to do surgical treatment.

arterio-venous fistula

Biopsy can make the arteriovenous directly connected in the kidneys. In general, there is no obvious symptom, majority can close by itself. The patients can adopt to artery embolization.

In addition, the patients also can appear other complications of low rate, such as massive haemorrhage and then have to do nephrectomy, and shock etc.