Why Is A Kidney Biopsy Required For Kidney Disease?

It is a very valuable laboratory test 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, so it is difficult to determine the diagnosis only based on clinical laboratory tests and general examinations, which is not conducive to clinicians. To take timely and targeted treatment measures, it is often necessary to do renal biopsy. In the diagnosis of renal disease, renal puncture has the following meanings: (1) If the etiology is clear, such as through renal puncture, it can be determined whether it is primary glomerular disease or secondary glomerular disease, the latter commonly seen in lupus nephritis and vasculitis Correlated nephritis, diabetic nephropathy; (2) Identify the pathological type and understand the degree of kidney damage. According to the scope and degree of pathological damage, doctors can provide a basis for doctors to judge the prognosis of patients. (3) Guidance on treatment. For example, in patients with hematuria, if renal puncture shows only mild mesangial cell hyperplasia, the patient may only need general symptomatic treatment, and the prognosis is also good. If it is crescentic nephritis, the doctor may consider Treat with higher doses of immunosuppressants. For another example, in a patient with sudden oliguria, sometimes it is difficult to identify the etiology clinically, and the renal function deteriorates rapidly. In order to make a timely diagnosis, the doctor needs to do a renal biopsy immediately, because this is very important for the doctor to choose a medical plan. significance. Renal puncture is a relatively complex and highly technical examination, which generally needs to be performed in a hospital above the third level or by a physician specializing in nephrology and pathology. Whether the kidney pathological examination can be carried out is also a sign to measure the level of diagnosis and treatment of kidney disease in the hospital.

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