中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
15期
45-47
,共3页
薛少清%朱兴华%邓声京%廖秋菊
薛少清%硃興華%鄧聲京%廖鞦菊
설소청%주흥화%산성경%료추국
原发性IgA肾病%肾活检%肾病理
原髮性IgA腎病%腎活檢%腎病理
원발성IgA신병%신활검%신병리
Primary IgA nephropathy%Renal biopsy%Renal pathology
目的 探讨原发性IgA肾病的病理与临床疗效及预后之间的关系.方法 对55例原发性IgA肾病的患者进行肾穿刺后分析其病理分型、临床表现、疗效及预后.结果 病理分型轻者多表现为无症状血尿和/或蛋白尿,疗效较好,而病理分型重者临床表现多为肾病综合征伴高血压、肾功能不全,疗效差,预后差,提示病理分型与临床表现、疗效及预后有明显相关.结论 早期肾穿刺活检及早治疗,可以延缓肾功能衰竭进展.
目的 探討原髮性IgA腎病的病理與臨床療效及預後之間的關繫.方法 對55例原髮性IgA腎病的患者進行腎穿刺後分析其病理分型、臨床錶現、療效及預後.結果 病理分型輕者多錶現為無癥狀血尿和/或蛋白尿,療效較好,而病理分型重者臨床錶現多為腎病綜閤徵伴高血壓、腎功能不全,療效差,預後差,提示病理分型與臨床錶現、療效及預後有明顯相關.結論 早期腎穿刺活檢及早治療,可以延緩腎功能衰竭進展.
목적 탐토원발성IgA신병적병리여림상료효급예후지간적관계.방법 대55례원발성IgA신병적환자진행신천자후분석기병리분형、림상표현、료효급예후.결과 병리분형경자다표현위무증상혈뇨화/혹단백뇨,료효교호,이병리분형중자림상표현다위신병종합정반고혈압、신공능불전,료효차,예후차,제시병리분형여림상표현、료효급예후유명현상관.결론 조기신천자활검급조치료,가이연완신공능쇠갈진전.
Objective To study the pathology of primary IgA nephropathy and its clinical characteristics and explore the relationship between efficacy and prognosis.Methods Fifty-five patients with primary IgA nephropathy had their renal biopsy and analysis was done of pathological type,clinical manifestations,efficacy and prognosis.Results Patients with mild pathological types of asymptomatic hematuria and/or proteinuria had good efficacy, patients with severe pathological types of severe nephrotic syndrome with hypertension and renal insufficiency had poor efficacy. It indicated that renal pathology was significantly related toclinical manifestations,efficacy and prognosis.Conclusions Early renal biopsy and treatment can delay the deterioration of renal failure.
