What are the indications for renal needle biopsy?

Renal biopsy is most valuable for understanding diffuse glomerular disease. When clinically judged to be diffuse renal lesions and glomerulonephritis, nephrotic syndrome, asymptomatic proteinuria, asymptomatic hematuria, systemic lupus erythematosus, polyarteritis nodosa, etc., there are still doubts in the diagnosis, renal Biopsy is the diagnostic method of choice. Clinically suspected drug-induced acute interstitial nephritis but the cause cannot be determined, renal biopsy can assist in diagnosis and guide treatment. For unexplained acute renal failure, renal biopsy can confirm the diagnosis, determine the treatment, and determine the prognosis. If the patient develops a rejection reaction after kidney transplantation, the kidney biopsy can be used to decide whether or not to remove the transplanted kidney. Renal biopsy in diabetic and hyperuricemia patients may be helpful for the early diagnosis of diabetic nephropathy and uric acid nephropathy.

The diagnosis of pulmonary hemorrhagic nephritic syndrome also relies on renal biopsy. Rapidly progressive glomerulonephritis is not irreversible. With timely renal biopsy and active treatment after a clear diagnosis, renal function can be significantly improved.

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