Chen Tingting, Yang Qing, Xu Hong, Gong Yinv, Guo Xiaoling, Lin Hongzhou, Yang Jianhuan, Zhuang Jieqiu, Lan Junwei, Chu Maoping, Wang Dexuan
Department of Pediatrics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Basic Medical Research Center, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Front Pediatr. 2022 Apr 25;10:862029. doi: 10.3389/fped.2022.862029. eCollection 2022.
School urinary screening programming can be useful for the early detection of renal and urinary disorders. However, urine screening is not included in the school health check-up in our region. Therefore, from February 2012 to March 2021, 12,497 school students were screened for urinalysis, and a long-term follow-up took place an electronic medical record system. Among these screened students, 719 (5.75%) positive individuals received a repeat urinalysis 2 weeks later. During the 9-year medical record system follow-up period, 5 children had renal biopsies and 2 children had a diagnosis of IgA nephropathy (IgAN), while the remaining 3 children were diagnosed with thin basement membrane disease (TBM), primary nephrotic syndrome (PNS), and were suspected of C3 glomerulopathy, respectively. By this, calling for the school urine screening program as a physical examination item for primary and secondary school-aged students will contribute to enabling early detection of urine abnormalities and allow for early treatment.
学校尿液筛查项目有助于早期发现肾脏和泌尿系统疾病。然而，我们地区的学校健康检查中不包括尿液筛查。因此，在2012年2月至2021年3月期间，对12497名在校学生进行了尿液分析筛查，并通过电子病历系统进行了长期随访。在这些接受筛查的学生中，719名（5.75%）阳性个体在2周后接受了复查尿液分析。在9年的病历系统随访期间，5名儿童进行了肾活检，2名儿童被诊断为IgA肾病（IgAN），其余3名儿童分别被诊断为薄基底膜病（TBM）、原发性肾病综合征（PNS），并疑似C3肾小球病。由此可见，将学校尿液筛查项目作为中小学生的体检项目，将有助于早期发现尿液异常并实现早期治疗。
