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目的探讨肾活检患者肾脏病理类型及与临床表现的关系。方法回顾性分析我院2009年4月-2013年2月40例肾活检患者临床及病理资料。结果 40例肾活检患者中原发性肾小球疾病33例,其中IgA肾病占42.42%,继发性肾小球疾病7例,以乙肝病毒相关肾炎常见;伴有高血压、肾衰竭患者,肾小管间质损伤指数明显增加。结论我院原发性肾小球疾病病理类型以IgA肾病为主,肾活检对肾脏疾病诊治具有重要意义。
Objective To investigate the relationship between renal pathological types and clinical manifestations in renal biopsy patients. Methods The clinical and pathological data of 40 patients with renal biopsy in our hospital from April 2009 to February 2013 were retrospectively analyzed. Results Thirty-three cases of primary glomerular disease were found in 40 cases of renal biopsy, of which 42.42% were IgA nephropathy and 7 cases were secondary glomerular diseases. Common hepatitis B virus-associated nephritis was found. Patients with hypertension and renal failure, Tubulointerstitial injury index increased significantly. Conclusion The pathological type of primary glomerular disease in our hospital is mainly IgA nephropathy, and renal biopsy is of great significance in the diagnosis and treatment of renal diseases.