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肾活检107例临床病理分析
引用本文:刘琨,陈小园.肾活检107例临床病理分析[J].实用全科医学,2007,5(5):384-385.
作者姓名:刘琨  陈小园
作者单位:上海市金山区中心医院肾内科 201500(刘琨),安徽省铜陵市人民医院肾内科 244000(陈小园)
摘    要:目的探讨肾活检在肾脏疾病中的诊断意义。方法在B超定位下,采用负压抽吸法,对肾病患者进行经皮肾活检术。参照2000年5月全国肾活检病理诊断研讨会制定的指导性意见,通过光镜及免疫荧光,明确病理诊断。结果取材成功并有完整病理资料肾活检病人107例,年龄12~75岁,平均年龄32.9岁。男性占39%,女性占61%。其中原发性肾小球病占69%,继发性肾小球病占31%。原发性肾小球病中,,IgA肾病发病率最高(36.5%),继发性肾小球病中以狼疮性肾炎(LN)最多(63.6%)。结论原发性肾小球病仍为常见的肾小球疾病,其中以IgA肾病最为常见,继发性肾小球病中以狼疮性肾炎(LN)多见。肾活检病理对肾脏疾病的诊断、治疗及评估预后有重要意义。

关 键 词:肾活检  肾小球肾炎
文章编号:1672-1764(2007)05-0384-02
修稿时间:2006-12-05

Analysis of 107 Renal Biopsy
LIU Kun,CHEN Xiao-yuan.Analysis of 107 Renal Biopsy[J].Applied Journal Of General Practice,2007,5(5):384-385.
Authors:LIU Kun  CHEN Xiao-yuan
Institution:1. The Nephrology Department of the Central Hospital of Jinshan District, Shanghai 201500 ;2 The Nephrology Department of the First Peoples Hospital Tong Ling ,Anhui 244000, China
Abstract:Objective To study the significance of renal biopsy on renal disease.Methods We use the Suction technique of renal biopsy for 107 renal disease patients by ultrasound.Results In these 107 patients,according to etiological factor,Primary glomerulonephritis account for 69%.The most frequent physiologic type is IgA nephropathy,and account for 36.5%.Secondary glomerulonephritis account for 31%.Lupus nephritis(LN) account for 63.6%,which was the most frequent type of secondary glomerular disease.Conclusions Renal biopsy play an important role in the diagnosis,therapy and evaluate prognosis of renal disease.
Keywords:Renal biopsy  Glomerulonephritis
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