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68例狼疮肾炎的肾小管间质病变探讨
引用本文:王均玉,李幼姬,叶任高.68例狼疮肾炎的肾小管间质病变探讨[J].中华肾脏病杂志,1999,0(2):82-85.
作者姓名:王均玉  李幼姬  叶任高
作者单位:中山医科大学附属第一医院肾内科
摘    要:目的探讨肾小管间质病变(TIL)在狼疮肾炎(LN)的意义。方法分析了68例LN资料,并对其中42例作了较长期的随访。结果LN的TIL发生率为75%,TIL明显者,肾小管功能显著下降,血肌酐、尿蛋白水平明显增加(P<001),肾小管间质与肾小球急、慢性病理改变之间均显著相关(P<001),同时,存在明显TIL者,其生存率及肾存活率有下降趋势。结论TIL与肾小球病变呈平行的正相关关系,且对LN预后有一定的影响。

关 键 词:狼疮肾炎  肾小管间质病变  临床病理

Analysis of tubulointerstitial lesions in 68 lupus nephritis
WANG Junyu,LI Youji,YE Rengao.Analysis of tubulointerstitial lesions in 68 lupus nephritis[J].Chinese Journal of Nephrology,1999,0(2):82-85.
Authors:WANG Junyu  LI Youji  YE Rengao
Institution:WANG Junyu,LI Youji,YE Rengao.Department of Nephrology,the First Affiliated Hospital,Sun Yatset University of Medical Sciences,Guangzhou 510080
Abstract:Objective To investigate the relationships between tubulointerstitial lesions(TIL) and clinics and prognosis in lupus nephritis(LN). Methods 68 LN cases were reviewed and 42 cases among them were followed up. Result The incidence of TIL in LN was 75%,and patients with severe TIL had significantly decreased tubular function and higher mean Scr concentration and proteinuria(P<001).TIL was closely correlated to glomerular damages(P<001).Meanwhile patients with severe TIL had decreased survival and renal survival. ConclusionTIL can affect the clinic and prognosis of LN,and is positively correlated to glomerular lesions.
Keywords:Lupus nephritisTubulointerstitial lesionsClinicopathology  
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