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008 190411s2018 ua h f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.28.M.Sc.2018.Am.P
100 0 _aAmina Mohamed Abdelfatah Kholeif
245 1 0 _aPredictive value of ultrasound in detection of complications after one hour of renal biopsy /
_cAmina Mohamed Abdelfatah Kholeif ; Supervised Mervat Ahmed Haroun , Amr Mohamed Salem , Rasha Helmy Mohamed
246 1 5 _aدور الموجات الصوتية بعد ساعة من أخذ عينة من الكلي في اظهار المضاعفات
260 _aCairo :
_bAmina Mohamed Abdelfatah Kholeif ,
_c2018
300 _a92 P. :
_bfacsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520 _aRenal biopsy became a standard technique in diagnosing renal diseases. It held many complications in the past being performed blindly. But since the introduction of ultrasound guided renal biopsy in the field, the procedure became much safer with less complication rate and better yield. Objectives: In this study we aim to evaluate the capability of ultrasound examination after one hour to detect early complication and predict the course of cases. Patients and methods: This was a prospective study conducted during the period from October 2017 to the end of March 2018, and included patients undergoing Percutaneous Renal Biopsy in the Pediatric Nephrology Unit in Cairo University Pediatric Hospitals. Results: The present study was conducted on 60 patients; 29 were males (48.3%) and 31 were females (51.7%); their mean weight was 24.2 kg, with mean age 89.3 months. Out of 60 patients who performed the biopsy, only 21.6% had complications. We detected two subcapsular hematomas (3.3%), another 2 cases with bladder hematoma (3.3%), 9 cases with back pain (15%) and hematuria (as a complication, not related to original disease) occurred in 6 cases (10%). We found that sensitivity of ultrasound is 66.6% in the first hour after renal biopsy with 98.3 % specificity to possible bleeding complications with 66.6% positive predictive value and 98.2% negative predictive value. However clinical presentation was the only predictor in one case for complication which was detected late by ultrasound
530 _aIssued also as CD
653 4 _aComplications
653 4 _aRenal biopsy
653 4 _aUltrasound
700 0 _aAmr Mohamed Salem ,
_eSupervisor
700 0 _aMervat Ahmed Haroun ,
_eSupervisor
700 0 _aRasha Helmy Mohamed ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aAsmaa
_eCataloger
905 _aNazla
_eRevisor
942 _2ddc
_cTH
999 _c71388
_d71388