Martínez-Abadía Alejandra Itzel, Juárez-Sánchez José Óscar
Instituto Mexicano del Seguro Social, Centro Médico Nacional del Bajío, Hospital de Especialidades No. 1, Servicio de Nefrología. León, Guanajuato, México.
Rev Med Inst Mex Seguro Soc. 2023 Sep 18;61(Suppl 2):S185-S192.
Renal biopsy has become one of the pillars of nephrology practice, being a very important tool in the diagnostic approach of any nephrology center, since it contributes to the identification and adequate management of glomerular diseases, which represent the third cause of chronic kidney disease in the world. In Mexico there are few reports on the epidemiology of glomerular diseases; therefore, it is important to carry out this type of study.
To identify which are the main glomerulopathies reported in our center, Determine the most prevalent glomerular syndrome according to the reported glomerulopathy, and identify the main complications after percutaneous renal biopsy.
A retrolective cross-sectional study which included patients who underwent percutaneous biopsy of the native kidney from August 2020 to August 2022; we obtained information from the service's database.
89 biopsy reports were analyzed, out of which 66.29% corresponded to the female gender and 32.70% to the male gender. The average age was 37.6 ± 12.86 years. The most frequent primary glomerulopathy was focal segmental glomerulosclerosis (FSG) in 22.5%, followed by membranous nephropathy in 7.9%. The most frequent secondary glomerulopathy was lupus nephropathy in 42.7%. Nephrotic syndrome occurred in 43.85% of cases. 89% of the patients did not present post-biopsy complications.
FSG is the most common primary glomerulopathy. Nephrotic syndrome was the main indication for renal biopsy. The vast majority of patients did not present complications, so we can consider it to be a safe and above all useful procedure for the diagnosis of glomerular diseases.
肾活检已成为肾脏病学实践的支柱之一，是任何肾脏病中心诊断方法中非常重要的工具，因为它有助于识别和妥善管理肾小球疾病，而肾小球疾病是全球慢性肾脏病的第三大病因。在墨西哥，关于肾小球疾病流行病学的报道很少；因此，开展此类研究很重要。
确定我们中心报告的主要肾小球病，根据报告的肾小球病确定最常见的肾小球综合征，并确定经皮肾活检后的主要并发症。
一项回顾性横断面研究，纳入2020年8月至2022年8月接受经皮肾活检的患者；我们从该科室的数据库中获取信息。
分析了89份活检报告，其中66.29%为女性，32.70%为男性。平均年龄为37.6±12.86岁。最常见的原发性肾小球病是局灶节段性肾小球硬化（FSG），占22.5%，其次是膜性肾病，占7.9%。最常见的继发性肾小球病是狼疮性肾炎，占42.7%。43.85%的病例出现肾病综合征。89%的患者未出现活检后并发症。
FSG是最常见的原发性肾小球病。肾病综合征是肾活检的主要指征。绝大多数患者未出现并发症，因此我们可以认为它是一种安全且最重要的是对诊断肾小球疾病有用的方法。
