摘要
目的 :研究肾功衰竭患者的病理类型及特点。方法 :对 97例血肌酐≥ 186 μmol/L的患者行B超引导下的肾活检术 ,并对活检组织进行光镜、免疫及电镜检查。结果 :硬化性肾炎仅占 12 .37% ,原发性肾小球肾炎占 5 8.76 % ,其中IgA肾病 2 2 .6 8% ;弥漫系膜增殖性肾炎 17.5 3% ;局灶节段性肾小球硬化占 11.34% ;继发性肾炎占 19.5 9% ,以狼疮性肾炎居首位占 9.2 8% ;肾小管间质病变占 9.2 8%。结论 :对肾功衰竭患者行肾活检有助于了解基础病因及病理类型 ,从而有利于治疗 ,延缓肾功衰竭进展。
Objective:To research the pathologica l types in renal biopsies in patients with renal insufficiency. Methods: This study retros pectively analyzed the rena l pathological biopsies of 97 patients with renal insufficiency and near-norm al si zed kidney. Results:Sclerosing glomerμlonephritis accounted for 12.37%, p rimary glomerulonephritis accounted for 58.76%. The respective corporation among PGN: IgAN(22.68%), diffusing mesangial proliferative glomerulonephritis wit h sc lerosis or tubulointerstial damage(17.53%),focal segmental glomerular sclerosis( 11.34%). Secondary glomerulonephritis 19.59%, tubulointerstitial nephritis(9.28% ).Conclusion:Renal biopsy is very important for the patients with renal insufficiency.
出处
《西北国防医学杂志》
CAS
2004年第6期418-420,共3页
Medical Journal of National Defending Forces in Northwest China
关键词
肾功能衰竭
肾活检
病理
Renal insufficiency
Renal biopsy
Pathology
