Why do puncture needle examinations for kidney disease?

It is a very valuable laboratory examination method commonly used in clinical diagnosis of kidney disease. Many kidney diseases have different pathological manifestations, different prognosis, and different treatment methods, but the clinical manifestations are very similar, such as proteinuria or hematuria. It is difficult to confirm the diagnosis based on clinical laboratory tests and general examinations, which is not conducive to clinicians. Take timely targeted treatment measures, so kidney puncture is often needed. In the diagnosis of kidney disease, renal puncture has the following significance: (1) To determine the cause, such as renal puncture, can determine whether it is primary glomerular disease or secondary glomerular disease. The latter is common with lupus nephritis and vasculitis Related nephritis, diabetic nephropathy; (2) Clarify the pathological type and understand the degree of kidney damage. According to the scope and degree of pathological damage, it can provide doctors with a basis for judging the prognosis of patients. (3) For patients with hematuria, if the renal puncture shows only mild mesangial cell proliferation, the patient may only need general symptomatic treatment and the prognosis is good. If it is crescentic nephritis, the doctor may want to consider Treat with larger doses of immunosuppressive agents. For another example, for a patient with sudden oliguria, sometimes the cause is difficult to determine clinically, and renal function deteriorates quickly. In order to confirm the diagnosis in time, the doctor needs to do a renal puncture immediately, because this is important for the doctor to choose a medical plan. significance. Renal puncture is a more complicated and highly technical examination, which generally needs to be performed in a hospital above the third level or with the cooperation of physicians specializing in kidney and pathology. The ability to carry out renal pathological examinations is also a measure of the level of diagnosis and treatment of kidney diseases in hospitals.

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