CAJ | 학술논문

目的探讨天门市IgA肾病患者肾脏病理类型与临床表现的相关性.方法对52例原发性IgA肾病患者的临床及病理资料进行回顾性分析.结果 52例IgA肾病患者中20例(57.69％)临床表现为血尿+蛋白尿,15例(28.85％)临床表现为肾病综合征.15例(28.85％)病理类型为系膜增生性肾炎(Lee氏Ⅰ级),16例(30.77％)病理类型为局灶性节段性肾小球硬化(Lee氏Ⅲ级).结论 IgA肾病临床表现多样化,临床表现与病理类严重程度并不一致,应尽早行肾活检术确诊.
목적 탐토천문시IgA신병환자신장병리류형여림상표현적상관성.방법 대52례원발성IgA신병환자적림상급병리자료진행회고성분석.결과 52례IgA신병환자중20례(57.69％)림상표현위혈뇨+단백뇨,15례(28.85％)림상표현위신병종합정.15례(28.85％)병리류형위계막증생성신염(Lee씨Ⅰ급),16례(30.77％)병리류형위국조성절단성신소구경화(Lee씨Ⅲ급).결론 IgA신병림상표현다양화,림상표현여병리류엄중정도병불일치,응진조행신활검술학진.
Objective To investigate the correlation between the clinical manifestations and pathological types in patients with IgA nephropathy in Tianmen,Hubei Province.Methods The clinical and pathological data of 52 patients with primary IgA nephropathy diagnosised by renal biopsy were analyzed retrospectively.Results In 52 patients with primary IgA nephropathy,20 cases(57.69％)were manifested as hematuria and proteinuria,15 cases (28.85％) were manifested as nephrotic syndrome.15 cases(28.85％)were mesangial proliferative glomerulonephritis(Lee' s Ⅰ),16 cases(30.77％) were focal segmental glomerulosclerosis (Lee' s Ⅱ).Conclusions The clinical manifestations of IgA nephropathy are very diverse.The severity of the clinical manifestations are not in step with the pathologic changes.Therefore,renal biopsy should be done early in order to confirm the diagnosis.