超音波導引攝護腺切片檢查須知(Information on Ultrasound-Guided Prostate Biopsy)
【Learning Points】
- The purpose of a kidney biopsy is to obtain kidney tissue for pathological examination to establish a diagnosis of the underlying disease.
- Prior to a kidney biopsy, it is essential to assess clotting function and complete a consent form.
- After the biopsy, close monitoring of vital signs and observation of urine output are necessary.
- The day following the biopsy, a renal ultrasound is performed to confirm the absence of bleeding before discharge.
I.Percutaneous renal biopsy examination:
Undersonography-guidance, the doctor will do percutaneous renal biopsy by biopsy needle. This procedure will obtain very small portions ofthe kidneytissuefor making pathological diagnosis.
II.Indications:
- Nephrotic syndrome or nephritis.
- Unknown cause of acute kidney injury.
- Proteinuria or hematuria.
- Suspected rejection or unexplained renal function deterioration for graft kidney.
- Any indication which nephropathy.
III.Before the procedure:
| 1.Before the examination,please refrain from taking antiplatelet or antithrombotic agents as doctors' instructions.  | 2.The doctor will arrange regular blood tests to ensure normal blood coagulations. |
| 3.After full understanding,the indication and risk of renal biopsy, please sign inform consent.  | 4.You shuld empty the bladder before renal biopsy. |
5.For high risk groups of bleeding in patients with poor renal function, the nurse will infuse 4 amps of Decompressions to avoid post-biopsy bleeding by doctors'order,thirty minutes before this examination. | |
IV.During the procedure:
| 1.During this examination, you should lie in proneposition (for kidneytransplant patients, please lie in supineposition). The entire procedure may take about 30 minutes.  | 2.We will disinfect the site of biopsy, and inject local anesthesia. |
3.The doctor will instruct you to hold your breath if necessary. | 4.Please inform the doctor if you have any discomfort. |
| 5.After biopsy, the doctor will help you lie in supine position, cover the wound with gauze, and place a sand bag for compression to stop bleeding.  | |
V. After the procedure:
- Keep the supine position and under the sand bag compression for six hours at least (kidney transplant patients just compression for two hours). If necessary, please also rest in bed within 24 hours as possible.
- The nurse will closely monitor your blood pressure and heart rate to check any change of vital sign.
- During best rest, if you want to urinate, please use the urinal in the bed .
- Please notify the nurse to check any hematuria or blood clot, when you first time urinate after biopsy.
- Emerge with hematuria, painful sensation over puncture site, swelling, chills, hypotension, palpitation, night sweating, dizziness and any other symptoms, please inform us immediately.
- In the coming morning, the doctor will check renal ultrasound to ensure any hematoma or not.
- Without any discomfort and bleeding, you may be discharged after sonography. But please watch out any signs and symptoms of bleeding. With the above condition, please return to the outpatient department or emergent room.
IV.Noes for Patients of after discharge from the hospital:
- Without any discomfort and bleeding, you may be discharged after sonography. But please watch out any signs and symptoms of bleeding. With the above condition, please return to the outpatient department or emergent room.
- Any regular antithrombotic agents should not be taken within one week . If any question, please contact your doctor for confirmation the timing offtake medicine.
VII. Reference：
- Schnuelle, P. (2023). Renal Biopsy for Diagnosis in Kidney Disease: Indication, Technique, and Safety. Journal of Clinical Medicine, 12(19), 6424. https://doi.org/10.3390/jcm12196424
- 邱顯富. (2024). 慢性腎絲球腎炎與腎臟切片. 臺中榮民總醫院.取自https://www.vghtc.gov.tw/UploadFiles/Images/EDM/060338c3-b2ef-4c1e-8e7a-07835dcf7810_2.pdf
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- 位置
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- 資料夾名稱
- English
- 上傳者
- 黃郁琇
- 單位
- 中榮護理衛教
- 英文名稱
- Renal Biopsy
- 分類
- 檢查
- 科別
- 英語
- 癌症照護
- 否
- 建立
- 2024-01-29 00:27:38
- 最近修訂
- 2026-04-01 09:57:40
- 版本
- 2026-04-01