中山醫學大學機構典藏 CSMUIR:Item 310902500/18567
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    题名: Ten-Year Registry of Native Kidney Biopsy from a Single Center in Taichung
    作者: Hsiao, Kuang-Chin
    Lian, Jong-Da
    Wu, Shen-Wen
    Hung, Tung-Wei
    Lin, Chih-Kuang
    Wen, Mei-Chin
    Chang, Horng-Rong
    贡献者: 中山醫大
    关键词: native renal biopsy;nephrotic syndrome;membranous nephropathy
    日期: 2012
    上传时间: 2017-11-14T08:29:16Z (UTC)
    摘要: BACKGROUND: Renal biopsy plays an important role in diagnosis of renal disease, especially in
    nephrotic syndrome. IgA nephropathy had been the most common glomerular disease in the whole
    world. However, there were not many reports about the epidemiological incidence and causes of renal
    disease in Taiwan.
    METHODS: We performed a single-center, retrospective analysis of patients with renal disease
    that was documented by precutaneous renal biopsy from October 2000 to December 2010. Demographic
    data (age, gender), laboratory investigations such as serum urea, serum creatinine, proteinuria,
    haematuria, 24-hour urinary protein, and creatinine clearance, and clinical diagnosis were collected for
    analysis.
    RESULTS: There were 444 native kidney biopsies performed, 238 males (53.6%) and 206 females
    (46.7%). The average age of patients was 47.6 years. The most common clinical presentation as an
    indication for renal biopsy was nephrotic syndrome (52%). Membranous nephropathy (17.5%) was the
    most common glomerular disease and the most frequent cause (29.8%) of nephrotic syndrome. Primary
    glomerular disease accounted for 55% of all biopsies and membranous nephropathy was the most
    frequent cause (31.7%) of the primary glomerular disease. Lupus nephritis was the most frequent
    secondary glomeurlonephritis (53.21%).
    CONCLUSIONS: Instead of IgA nephropathy, membranous nephropathy was the most common
    primary glomerular disease and lupus nephritis was the most common secondary glomerulonephritis in
    our analysis. The high prevalence of membranous nephropathy could be due to older age and higher
    incidence of patients with nephrotic syndrome in our database.
    URI: http://dx.doi.org/10.6221/AN.2011022
    https://ir.csmu.edu.tw:8080/ir/handle/310902500/18567
    關聯: Acta Nephrologica 26(2): 68-73, 2012
    显示于类别:[醫學研究所] 期刊論文

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