论文部分内容阅读
IgA肾病33例,占原发性肾小球疾病肾活检总数之19.1%。临床表现最常见为无症状性尿检异常,共22例,占66.7%。其次是肾病综合征占18.2%。病理类型主要为局灶性肾小球肾炎和弥漫性系膜增生性肾小球肾炎,分别占48.5%和33.3%。本组14.7%患者发生慢性肾功能不全(Scr>132μml/L)。经分析认为,本病发生慢性肾功能不全与病理上肾小球硬化及小管间质病变有密切联系。
33 cases of IgA nephropathy, accounting for 19.1% of the total number of renal biopsy of primary glomerular disease. The most common clinical manifestations of asymptomatic urine abnormalities, a total of 22 cases, accounting for 66.7%. Followed by nephrotic syndrome accounted for 18.2%. Pathological types are mainly focal glomerulonephritis and diffuse mesangial proliferative glomerulonephritis, accounting for 48.5% and 33.3% respectively. The group of 14.7% of patients with chronic renal insufficiency (Scr> 132μml / L). After analysis, the occurrence of chronic renal insufficiency and pathological glomerulosclerosis and tubulointerstitial lesions are closely linked.