[Use of surgical biopsy of the kidney in the differential diagnosis of various forms of arterial hypertension].
To make a more precise diagnosis, kidney biopsy was performed in 17 patients with a severe course of blood hypertension due to a mild urinary syndrome. Taking into account the high risk of hemorrhagic complications in such patients, an operational biopsy was performed (in 13 patients in a open way and in 4 patients in a semiopen one). As a result of the histologic investigation of kidney bioptates, the diagnosis was changed in more than half patients. In the postoperative period, almost all the patients had microhematuria, 1 subject having massive bleeding into the retroperitoneal cavity that required nephrectomy. In 3 subjects the postoperative period was complicated by wound suppuration.
D000328:Adult; D001706:Biopsy / Q000009:adverse effects / Q000379:methods; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000473:pathology; D007668:Kidney / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications / Q000453:epidemiology; D011300:Preoperative Care
Primenenie operatsionnoĭ biopsii pochki v differentsial'noĭ diagnostike razlichnykh form arterial'noĭ gipertonii.