ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Indications For Renal Biopsy In Children And Ultrasound -guided Percutaneous Technique
Kaan DEMİRÖREN*, Ahmet ÖZEL**
* Uz.Dr., Çumra Devlet Hastanesi, Çocuk Sağlığı ve Hastalıkları,
** Prof.Dr., Selçuk Üniversitesi Tıp Fakültesi, Çocuk Nefroloji BD, KONYA
Purpose: Renal biopsy is an important tool for both diagnosis and treatment of renal diseases. It is considered more risky procedure in children than adults because of size of the kidneys and cooperation of the child patient. The aim of this study was to examine the efficacy and the safety of ultrasound-guided percutaneous renal biopsy in children, and to review the renal biopsy indications for children.
Material and Method: In this study, the hospital records of 972 patients, admitted to the Pediatric Nephrology Unit of Selçuk University Faculty of Medicine during the period of September 1998 to March 2001, were reviewed, and 15 cases in whom percutaneous renal biopsy was performed with the guidenance of ultrasonography were analyzed.
Results: Routine urine analysis revealed nephrotic proteinuria and microscopic haematuria in eight (53.3%) cases, nephrotic proteinuria in three (20%) cases, microscopic haematuria in two (13.3%) cases, nephrotic proteinuria and macroscopic haematuria in one (6.7%) case, and no proteinuria or haematuria in one (6.7%) case. The most common renal biopsy indication was steroid-resistant nephrotic syndrome in four (26.7%) cases. Two of these cases were diagnosed as mesangioproliferative glomerulonephritis, and the others focal segmental glomerulosclerosis and minimal change disease. Renal biopsy demonstrated class II, IV and V lupus nephritis in three cases with systemic lupus erythematosus and Henoch-Schönlein purpura nephritis in two cases. The other results obtained by renal biopsy were membranoproliferative glomerulonephritis, rapidly progressive glomerulonephritis, thin basement membrane disease, amyloidosis, diffuse glomerular sclerosis and minimal glomerulopathy. No complication due to renal biopsy occurred.
Conclusion: It is concluded that ultrasound-guided percutaneous renal biopsy with a semi-automatic tru-cut biopsy needle is both safe and efficient method in children.Keywords: Kidney, Biopsy, Ultrasonography, ChildTurkiye Klinikleri J Med Sci 2003, 23:353-358
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