A kidney biopsy needle is required when:

Oct 11, 2022

1. Nephrotic syndrome: when the etiology of nephrotic syndrome is unknown, consider whether it is secondary to systemic disease;

2. In patients with glomerulonephritis, renal biopsy is required to determine the pathological type of renal damage.

3. Acute progressive nephritis syndrome. Renal biopsy can detect the morphology and extent of inflammatory and immune deposits, which is very important for the early diagnosis and treatment of acute progressive nephritis. The clinical manifestations of primary acute nephritis are atypical or acute nephritis does not heal or renal function decreases after several months.

4. In adult patients with primary nephrotic syndrome, it is best to do renal biopsy before using hormone to determine its tissue type, so as to avoid side effects caused by blind use of hormone, especially in patients with ineffective treatment, renal biopsy is necessary.

5. Renal biopsy may be considered for patients with hematuria who have not established a diagnosis after various tests have excluded non-glomerular hematuria. Renal biopsy should be performed for patients with persistent hematuria without clinical manifestations, hematuria with proteinuria, and 24-hour urinary protein quantity greater than 1 gram.

6. For patients with long duration of pure proteinuria without any symptoms, renal biopsy can be used to determine the pathological type, which is conducive to medication and prognosis.

7. Renal biopsy can be performed to help diagnose lupus nephritis, renal hypertension, acute renal failure, and chronic renal failure of unknown cause.

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