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。
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.
出处
《蚌埠医学院学报》
CAS
2007年第4期437-439,共3页
Journal of Bengbu Medical College
关键词
肾疾病
病理学
诊断
鉴别
kidney diseases
pathology
diagnosis, differential
