Özkayın Neşe, Çıplak Gökçe, Usta Ufuk, Gençhellaç Hakan, Temizöz Osman
Department of Pediatric Nephrology, Trakya University School of Medicine, Edirne, Turkey.
Department of Pathology, Trakya University School of Medicine, Edirne, Turkey.
Balkan Med J. 2016 Nov;33(6):589-593. doi: 10.5152/balkanmedj.2016.150506. Epub 2016 Nov 1.
Many children with kidney diseases can be diagnosed and treated without a biopsy. However, biopsy is a valuable method for the diagnostic and prognostic evaluation of children with kidney diseases.
To evaluate the clinical and pathological profiles of the kidney biopsies in our department to provide epidemiological data for clinical practice.
Retrospective cross-sectional study.
Kidney biopsies and patient's charts in pediatric patients performed between May 2005 and February 2015 at the Pediatric Nephrology Department, Trakya University School of Medicine were assessed retrospectively.
A total of 100 patients were examined. Their mean age was 9.62±4.26 years (range: 1-17 years); 54% of the patients were girls and 46% were boys. The most frequent indication for kidney biopsy was nephrotic syndrome (33%). The most common kidney disease was primary glomerulonephritis, which was observed in 65% of cases. IgA nephropathy (24%) was the most frequently observed subtype in primary glomerulonephritis groups. Secondary glomerulonephritis was diagnosed in 35% of cases. Systemic lupus erythematosus (51%) was the most frequently observed subtype in the secondary glomerulonephritis groups.
IgA nephropathy and systemic lupus erythematosus were the most frequent primary and secondary glomerulonephritis in our region among children, respectively.
许多肾病患儿无需活检即可诊断和治疗。然而,活检是评估肾病患儿诊断和预后的一种有价值的方法。
评估我院肾活检的临床和病理特征,为临床实践提供流行病学数据。
回顾性横断面研究。
回顾性评估2005年5月至2015年2月在特拉凯亚大学医学院儿科肾病科进行的儿科患者肾活检及病历。
共检查100例患者。他们的平均年龄为9.62±4.26岁(范围:1 - 17岁);54%为女性患者,46%为男性患者。肾活检最常见的指征是肾病综合征(33%)。最常见的肾脏疾病是原发性肾小球肾炎,65%的病例观察到该疾病。IgA肾病(24%)是原发性肾小球肾炎组中最常观察到的亚型。35%的病例诊断为继发性肾小球肾炎。系统性红斑狼疮(51%)是继发性肾小球肾炎组中最常观察到的亚型。
在我们地区儿童中,IgA肾病和系统性红斑狼疮分别是最常见的原发性和继发性肾小球肾炎。