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本文报道对27例肾小球疾病患儿行29次经皮肾活检,成功28次。其中肾病综合征14例,其它肾小球疾病13例。病理结果系膜增殖肾炎14例,微小病变4例,IgA肾病4例,膜性肾病、膜增殖性肾炎、弥漫增殖性肾炎、新月体肾炎及弥漫肾小球硬化各1例。肾活检对明确肾病的病理类型、确诊肾脏疾病、指导治疗、判断预后有较大意义。小儿肾活检只要准备充分、操作熟练是安全的。本组除4例肉眼血尿外,无其它严重并发症。本文还提出具体操作注意点。
This article reports 27 cases of glomerular disease in children with 29 percutaneous renal biopsy, the success of 28 times. Among them, 14 cases were nephrotic syndrome and 13 cases were other glomerular diseases. Pathological results Mesangial proliferative glomerulonephritis in 14 cases, 4 cases of minimal changes in 4 cases, IgA nephropathy, membranous nephropathy, proliferative glomerulonephritis, diffuse proliferative glomerulonephritis, crescentic glomerulonephritis and diffuse glomerulosclerosis in 1 case. Kidney biopsy to clear the pathological type of kidney disease, diagnosis of kidney disease, guiding treatment, to determine the prognosis of great significance. Pediatric renal biopsy as long as fully prepared, skilled operation is safe. In addition to 4 cases of gross hematuria, no other serious complications. This article also put forward specific operational considerations.