白友为, 吴永贵. 原发性肾小球疾病97例临床病理分析[J]. 蚌埠医学院学报, 2007, 32(4): 437-439.
    引用本文: 白友为, 吴永贵. 原发性肾小球疾病97例临床病理分析[J]. 蚌埠医学院学报, 2007, 32(4): 437-439.
    BAI You-wei, WU Yong-gui. Pathologic analysis of primary glomerular diseases:A report of 97 cases[J]. Journal of Bengbu Medical College, 2007, 32(4): 437-439.
    Citation: BAI You-wei, WU Yong-gui. Pathologic analysis of primary glomerular diseases:A report of 97 cases[J]. Journal of Bengbu Medical College, 2007, 32(4): 437-439.

    原发性肾小球疾病97例临床病理分析

    Pathologic analysis of primary glomerular diseases:A report of 97 cases

    • 摘要: 目的: 探讨原发性肾小球疾病患者临床表现与病理之间的关系、肾活检的并发症及其临床意义。方法: 分析97例原发性肾小球疾病患者的临床表现、病理类型及肾活检资料。结果: 97例原发性肾小球疾病中,IgA肾病30例,系膜增生性肾小球肾炎26例,膜性肾病10例,局灶性节段性硬化性肾小球肾炎14例,IgM肾病2例,毛细血管内增生性肾小球肾炎1例,肾小球轻微病变8例,增生硬化性肾小球肾炎4例,新月体性肾小球肾炎2例。肾活检术后并发症:肉眼血尿3例,肾包膜下小血肿2例,无其它严重并发症。结论: 肾活检病理检查与临床密切结合,有助于原发性肾脏疾病正确诊断和治疗。肾穿刺术虽有一定并发症,但多不严重,是一项安全、简便的诊断操作。

       

      Abstract: Objective: To study the relationship between the clinical manifestations and pathologic type of primary glomerular disease, as well as the the complications of percutaneous renal biopsy and its significance.Methods: The clinical manifestications, pathologic type and safety of percutaneous renal biopsy in 97 cases of primary glomerular disease were analyzed.Results: Among the 97 cases of primary glomerular diseases, 30 IgA nephropathy, 26 mesangial proliferative glomerulonephritis, 10 membranous nephropathy, 14 focal segmental glomerulosclerosis, 2 IgM nephropathy, 1 endocapillary proliferative glomerulonephritis, 8 minimal change nephrosis, 4 proliferative sclerosing glomerulomephritis and 2 crescentic glomerulonephritis.Complications occurred in five cases, three had naked eye hematuria, two perirenal hematoma, and no other serious complications.Conclusions: Combination of pathologic and clinical examination help to accurate diagnosis and therapy.Though the percutaneous renal biopsy has some slight complication, it is still a safe, simple and convenient diagnostic procedure.

       

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