Korean Journal of Nephrology 2001;20(1):111-119.
원저 : 경피적 신생검 494 예에 대한 임상 및 병리학적 고찰 (Clinical and Histopathological Analysis of 494 Cases of Percutaneous Renal Biopsies)
이윤정(Yun Jeong Lee),정찬(Chan Chung),김은수(Eun Soo Kim),정성권(Kwoen Sung Jung),주권욱(Kwon Wook Joo),차미경(Mi Kyung Cha),이종호(Jong Ho Lee),하승연(Seung Yeon Ha),오영하(Young Ha Oh),이현순(Hyun Soon Lee)
Abstract
Percutaneous renal biopsy is an essential component for diagnosis and management of glomerular dis- eases. In order to elucidate clinical and pathological features, 494 renal patients who had undergone renal biopsies at Gil Medical Center from January 1989 to June 1999 were studied retrospectively. The male to female ratio was 1.3: 1 and average age was 33.2 years. There were 370(83.5%) cases of primary glo- merular disease and 58(13.1%) cases of secondary glomerular disease. Among primary glomerular dis- ease, IgA nephropathy was the most common(175 cases), followed by minimal change disease(84 cases), membranous glomerulonephritis(34 cases), and focal segmental glomerulosclerosis(33 cases). In secondary glomerular disease, lupus nephritis was the most common(21 cases), followed by 11 cases of hepatitis B associated glomerulonephritis, 9 cases of HenochSchonlein purpura, and 4 cases of diabetic nephropathy. Among 99 cases of asymptomatic urinary abnormalities, IgA nephropathy was most common(69 cases) followed by 12 cases of thin basement membrane disease, 4 cases of minimal change disease, and 3 cases of focal segmental glomerulosclerosis, membranous glomerulonephritis, nonspecific glomerulonephritis. Among 159 cases of nephrotic syndrome, minimal change disease was most common(60 cases) followed by 25 cases of IgA nephropathy, 23 cases of focal segmental glomerulosclerosis, 21 cases of membranous glomerulonephritis, and 13 cases of lupus nephritis. Documented complication of renal biopsies included 23 cases of gross hematuria, 6 cases of perirenal hematoma, and 4 cases of infection. Death, AV fistula, aneurysm or serious compications that required surgical intervention were not reported. In conclusion, the percutaneous renal biopsy is relatively safe, and useful for diagnosis and management of glomerular diseases. The most common type of primary glomerular disease was IgA nephropathy.
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