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肾活检362例临床病理分析
引用本文:丁新国,李晓东,高山林,郭志军.肾活检362例临床病理分析[J].中国现代医学杂志,2008,18(13).
作者姓名:丁新国  李晓东  高山林  郭志军
作者单位:河北省唐山工人医院,肾内科,河北,唐山,063000
摘    要:目的了解肾脏疾病的病理类型及其特点。方法回顾性分析该院2005年8月~2007年5月共362例因肾脏疾病行肾活检的病历资料,分析其病理类型及其与临床表现的关系。结果362例患者中,原发性肾小球疾病占79.01%,继发性肾小球疾病占15.47%,遗传性肾小球疾病占1.1%,小管间质性疾病占4.42%。原发性肾小球疾病以IgA肾病(IgAN)最多,占30.97%,其次分别为系膜增生性肾小球肾炎(MsPGN)占14.36%,微小病变(MCD)占13.81%,膜性肾病(MN)占11.87%。继发性肾脏病中以狼疮性肾炎(LN)多见,占5.8%,其次是乙型肝炎相关性肾炎占3.6%,过敏性紫癜肾炎占3.3%。临床表现肾炎综合征占43.09%,肾病综合征占53、61%,急性肾衰竭占3.3%。结论原发性肾小球疾病是最常见的肾小球疾病,以IgAN为主。继发性肾小球疾病中以LN多见,女性多发,其他继发性肾小球疾病逐渐增多。肾活检非常有必要。

关 键 词:肾小球疾病  肾活检  病理分型  肾活检  临床  病理分析  renal  biopsy  analysis  pathological  女性  间质性疾病  系膜增生性肾小球肾炎  急性肾衰竭  肾病综合征  肾炎综合征  过敏性紫癜肾炎  相关性肾炎  乙型肝炎  狼疮性肾炎  继发性肾脏病  膜性肾病  IgAN  小管

Clinical pathological analysis of 362 renal biopsy
DING Xin-guo,LI Xiao-dong,GAO Shan-lin,GUO Zhi-jun.Clinical pathological analysis of 362 renal biopsy[J].China Journal of Modern Medicine,2008,18(13).
Authors:DING Xin-guo  LI Xiao-dong  GAO Shan-lin  GUO Zhi-jun
Institution:Department of Nephrology;Tangshan Worker's Hospital;Tangshan;Hebei 063000;P.R.China
Abstract:Objective] To survey features and pathological types of glomerular diseases. Methods] Between August 2005 and May 2007 in our center, 362 cases of percutaneous renal biopsy were performed. The pathologic entities were analyzed retrospectively and the clinical pathological characteristics of renal diseases were concluded. Results] Primary glomerulardiseases accounted for 79.01%. Secondary glomerular diseases accounted for 15.47%. Hereditary glomerular diseases accounted for 1.1%. In primary glomerular dis...
Keywords:glomerular diseases  renal biopsy  pathological classification  
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