原发性IgA肾病病理与临床分析

目的：为了解原发性ＩｇＡ肾病的病理与临床，疗效及预后之间的关系。方法：对８３例原发性ＩｇＡ肾病的患者进行肾穿刺后分析他们的病理分型、临床表现、疗效和预后。结果：病理类型轻者多表现无症状性血尿和／或蛋白尿，疗效较佳、预后好；而病理类型重者临床表现多为肾病综合症伴高血压，疗效差，预后不佳，说明病理与临床表现、疗效及预后有明显相关。结论：早期肾穿刺及早期治疗，可以延缓肾功能不全。

The Pathologic Features and Clinical Manifestation of Idiopathic IgA Nephropathy

To investigate the relationship between pathologic features and clinical manifestations,effects and prognosis in idiopathic IgA Nephropathy,83 cases of idiopathic IgAN were played renal biospsy and studied.The results showed that asymptomatic hematuria and proteinuria were more in light pathologic cases with better effects and prognosis,but nephrotic syndrome and hypertension were more in poor pathologic cases.It had poor effects and poor prognosis.The pathologic pattern showed a strong correlation with clinical manifestastion,effects and prognosis.Early renal biospsy and early treatment were suggested.