具有肾小球弥漫结节样改变的肾脏病理诊断

目的 探讨肾小球弥漫结节样改变的病理学诊断特征.方法 回顾性总结分析127例肾小球以弥漫结节样改变为主的肾活检患者的病理诊断.结果 肾小球弥漫结节样改变在糖尿病肾病、淀粉样变性肾损害、膜增生性肾炎、Ⅳ型狼疮性肾炎中最为常见,还可见于轻链沉积病、冷球蛋白血症肾损害等少见疾病中.结论 肾小球弥漫结节样改变可有多种不同的肾脏病理诊断,我们应结合临床和实验室数据进行相应的鉴别诊断.

Differential diagnosis of diffuse glomerular nodular changes

ObjectiveTo explore the clinical and pathological characteristics in diagnosing the renal diseases with diffuse glomerular nodular changes. MethodsThe clinical and pathological data of 127 patients whose renal pathological feature was mainly diffuse glomerular nodular changes were retrospectively analyzed. ResultsThe most common diagnosis was diabetic nephropathy and renal amyloidosis, and sometimes light chain deposit diseases and Mix cryoglobulinemia. ConclusionDiffuse glomerular nodular changes occurred in many diseases. We should make differential diagnosis based on the clinical symptoms, the results of laboratory examinations and the renal pathological characteristics.