肾活检在肾脏病诊治中的意义

THE SIGNIFICANCE OF RENAL BIOPSY IN KINDNEY DISEASE A CLINICAL AND PATHOLOGICAL ANALYSIS OF 487 CASES

作者自1981～1994年共行经皮肾活检491例,取材成功487例(99.2％)。其中病理诊断与临床诊断符合率为63.8％;病理诊断纠正临床诊断16.2％;病理结果使诊断明确者20％。病理诊断为正确治疗方案的制订和病情预后判断提供了重要帮助。笔者认为该项检查对肾脏病、尤其是弥漫性肾损害是最有价值的诊断方法之一。

The renal biopsy through the skin was taken for 491 patients, succeeded in 487 cases (99. 2%) from 1991 to 1994. The coincidence in clinical diagnosis and pathological diagnosis was about 63. 8%. 16. 2% of clinical diagnoses were corrected and 20% of ambiguous clinical diagnoses were madedefinite diagnoses by pathology. Our data show that pathological diagnosis is very important to select fit treatment and judge prognosis. The renal biopsy is one of the useful methods for diagnosing nephritic disease, especially for diagnosing the diffuse change of the kidney.