摘要
目的 分析狼疮性肾炎各种类型病变特征及相关实验室检查结果 ,探讨狼疮性肾炎病理类型与临床表现的关系。方法 对 1 71例狼疮性肾炎肾穿刺组织进行病理观察及常规实验室检查 ,根据 WHO1 9 82年标准进行病理分型 ,并分别进行活动性指数 (AI)、慢性指数 (CI)和肾小管间质病变 (TIL)评分。结果 病理类型以 型 LN最多 ,占 52 % ,其次是 型 (2 2 % )和 型 (1 6% ) , 型最少 (0 .6% )。各型病变中以 型最重 ,皮肤浮肿是各型 LN最常见的临床表现。结论 狼疮性肾炎病理类型与临床表现有相关性 , 型和 型 LN多表现为肾病综合征 , 、 、
Objective To investigate the relatio nship between pathological classification of lupus nephritis (LN) and its cli nical manifestation Methods The pathological data of renal biopsy and routine laboratory tests in 171 cases of LN were recorded.Pathological classification w as based upon the standard criteria of WHO 1982,and scored their active index(A I)、chronic index(CI)、tubular interstitial lesion (TIL) Results Type Ⅳ was most common (52%),type Ⅱ (22%) an d Ⅴ (16%) were next.The lesion in type Ⅳ was most serious.Skin edcma was the m ost common Clinical manifestation Conclusions A positive correlation is demonstrated betwee n pathological classification and clinical manifestation of LN.Pathological classification could be foretold in most cases according to the clinical manife station and necessary laboratory parameters
出处
《医学文选》
2003年第6期825-828,共4页
Anthology of Medicine
