[Kidney biopsy puncture, kidney aspiration puncture with fine needle, examination of urine sediment in phase contrast. Comparative study for the diagnosis of acute rejection in kidney transplantation].
The relative importance of renal biopsy and cytological studies (fine needle aspiration biopsy and urine sediment examination by phase contrast) in the diagnosis of acute rejection episode was evaluated in 30 patients who received a kidney transplant. All patients underwent these 3 examinations simultaneously during an acute degradation of graft function. Sensitivity of renal biopsy, fine needle biopsy and urine sediment was 0.86, 0.68, 0.43 respectively. The association of fine needle biopsy and urine sediment examination increased the sensitivity up to 0.73. Renal biopsy is indicated to assess the vascular and glomerular status or in the presence of inconclusive cytological studies.
Lacavalerie
B
B
Hôpital E. Herriot, Lyon.
Pouteil-Noble
C
C
Colon
S
S
Pellet
H
H
Touraine
J L
JL
D000208:Acute Disease; D000328:Adult; D001707:Biopsy, Needle / Q000379:methods*; D005260:Female; D006084:Graft Rejection / Q000473:pathology* / Q000652:urine; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male
Ponction biopsie rénale, ponction aspiration rénale à l'aiguille fine, examen du sédiment urinaire en contraste de phase. Etude comparative pour le diagnostic de rejet aigu en transplantation rénale.