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土耳其色雷斯地区儿童肾脏活检十年结果评估。

Assessment of Ten-Year-Long Results of Kidney Biopsies Performed on Children in the Thrace Region of Turkey.

作者信息

Özkayın Neşe, Çıplak Gökçe, Usta Ufuk, Gençhellaç Hakan, Temizöz Osman

机构信息

Department of Pediatric Nephrology, Trakya University School of Medicine, Edirne, Turkey.

Department of Pathology, Trakya University School of Medicine, Edirne, Turkey.

出版信息

Balkan Med J. 2016 Nov;33(6):589-593. doi: 10.5152/balkanmedj.2016.150506. Epub 2016 Nov 1.

DOI:10.5152/balkanmedj.2016.150506
PMID:27994909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5156454/
Abstract

BACKGROUND

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.

AIMS

To evaluate the clinical and pathological profiles of the kidney biopsies in our department to provide epidemiological data for clinical practice.

STUDY DESIGN

Retrospective cross-sectional study.

METHODS

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.

RESULTS

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.

CONCLUSION

IgA nephropathy and systemic lupus erythematosus were the most frequent primary and secondary glomerulonephritis in our region among children, respectively.

摘要

背景

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。

目的

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。

研究设计

回顾性横断面研究。

方法

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。

结果

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。

结论

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。

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本文引用的文献

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Percutaneous ultrasound-guided renal biopsy in children: a single centre experience.儿童经皮超声引导下肾活检:单中心经验
Hippokratia. 2011 Jul;15(3):258-61.
2
Indications and results of renal biopsy in children: a 10-year review from a single center in Serbia.塞尔维亚某单一中心 10 年回顾:儿童肾活检的适应证和结果。
J Nephrol. 2012 Nov-Dec;25(6):1054-9. doi: 10.5301/jn.5000095.
3
Pattern of pediatric renal disease observed in native renal biopsies in Pakistan.巴基斯坦本土肾活检中观察到的儿科肾脏疾病模式。
J Nephrol. 2009 Nov-Dec;22(6):739-46.
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Changing prevalence of glomerular diseases in Korean adults: a review of 20 years of experience.韩国成年人肾小球疾病患病率的变化:20年经验回顾
Nephrol Dial Transplant. 2009 Aug;24(8):2406-10. doi: 10.1093/ndt/gfp091. Epub 2009 Mar 4.
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Ten-year review of disease pattern from percutaneous renal biopsy: an experience from a paediatric tertiary renal centre in Hong Kong.经皮肾活检疾病模式的十年回顾:香港一家儿科三级肾脏中心的经验
Hong Kong Med J. 2008 Oct;14(5):348-55.
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A one-center experience with pediatric percutaneous renal biopsy and histopathology in Ankara, Turkey.土耳其安卡拉的小儿经皮肾活检和组织病理学的单中心经验。
Int Urol Nephrol. 2009 Dec;41(4):933-9. doi: 10.1007/s11255-008-9433-9. Epub 2008 Aug 12.
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Percutaneous ultrasound-guided renal biopsy in children - safety, efficacy, indications and renal pathology findings: 14-year Brazilian university hospital experience.儿童经皮超声引导下肾活检——安全性、有效性、适应证及肾脏病理结果:巴西某大学医院14年经验
Clin Nephrol. 2008 Jun;69(6):417-24. doi: 10.5414/cnp69417.
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[Systemic lupus erythematosus in children and adolescents].[儿童和青少年系统性红斑狼疮]
Z Rheumatol. 2006 Nov;65(7):576-8, 580-2, 584-5. doi: 10.1007/s00393-006-0115-7.
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Is there really an increase in non-minimal change nephrotic syndrome in children?儿童非微小病变型肾病综合征真的增加了吗?
Am J Kidney Dis. 2003 Dec;42(6):1107-13. doi: 10.1053/j.ajkd.2003.08.010.
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Standards for renal biopsies: comparison of inpatient and day care procedures.肾活检标准:住院与日间护理程序的比较
Pediatr Nephrol. 2003 Jan;18(1):53-6. doi: 10.1007/s00467-002-1003-2. Epub 2002 Nov 14.