Myös munuaisbiopsia voidaan tehdä, jos on viitteitä. Tärkeimmät indikaatiot munuaisbiopsialle ovat:
Mar 01, 2022
① Consider diffuse lesions, such as various types of glomerulonephritis, nephrotic syndrome, systemic diseases such as systemic lupus erythematosus, diabetes, polyarteritis nodosa, kidney damage caused by amyloidosis, etc.
②Unexplained hematuria, when non-glomerular hematuria is excluded, renal biopsy should be performed to confirm the diagnosis.
③ Unexplained persistent proteinuria.
④ After various clinical examinations, it is considered as renal tubule-interstitial disease.
⑤ In patients with renal insufficiency, when it is difficult to diagnose and determine the treatment plan, especially when the onset of acute onset is acute, and when rapidly progressive nephritis is suspected, renal biopsy should be performed as soon as possible to confirm the diagnosis and facilitate the formulation of treatment plans.
⑥ When chronic pyelonephritis is suspected, but chronic nephritis cannot be ruled out, and there is insufficient clinical evidence for differential diagnosis.
⑦ In the case of suspected rejection after kidney transplantation, or if it is diagnosed as rejection but the treatment is ineffective, or if the original kidney disease is suspected to have recurred, kidney biopsy should be performed.
⑧Others, such as unexplained hypertension, continuous renal biopsy should be performed to revise the diagnosis and revise the treatment plan for the condition and treatment needs.
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