61例婴幼儿肾小球疾病的临床与病理

对６１例婴幼儿肾小球疾病患儿进行肾穿刺检查，其中急性肾炎４例，迁延性肾炎１例，无症状性蛋白尿或血尿３例，单纯性肾病４５例，肾炎性肾病７例，先天性肾病综合征１例。病理类型：毛细血管增生性肾炎７例，微小病变５例，系膜增生性肾炎２６例，ＩｇＡ肾病５例，ＩｇＭ肾肩１０例，膜性肾病７例，局灶节段性肾小球硬化１例。完全经解４９例（８８．５％），部分缓解６例（９．８％），无效１例（１．６％）．结果表明，婴幼儿肾小球疾病的病理类型以系膜增生性肾炎为主，微小病变只占８．２％。婴幼儿肾小球疾病的疗效较好。

Clinical and pathological study ofglomerular diseases in 61 infantpatients

1 cases infant with biopey proved prmiarynephritis were studied. There were 4 cases ofacute nephritis, defered nephritis 1 case, no-symptomatic proteinuria or hematuria 3 cases,45 cases with simple nephrosis, nephriticnephrosis 7 cases and 1 case of hereditarynephritis in all petients. The pothologic typedistrubution in turn was: endocapillaryproliferative nephritis 7 cases, minimal changenephropathy 5 cases, mesangial proliferativenephritis 26 cases, IgA nephropathy 5 cases,igM nephropathy 10 cases, membranousnephropathy 7 cases and 1 case of focalsegmental glomerulosclerosis. Therapeuticeffect: 49 patients showed complete remission(88. 5%) , 6 petients showed near remission(9.8%) and inefficiency patients had only 1 case(1. 6%). The results showed the mesangialproliferative nephritis was most importantpathologic type of glomerular diseases in theinfant patients, the minimal change nephropathyexhibited only 8. 2%, on the other hand, thetherapcutic effect of glomerular diseases wasmuch better in the infant.