CAJ | 학술논문

目的：探讨江苏地区1645例肾活检资料的流行病学特点及病理类型。方法回顾性分析2009年1月~2013年6月经皮肾活检的1645例标本病理资料，并进行统计和总结。结果1645例肾活检穿刺成功1597例，成功率为97．1%；原发性肾小球疾病占78．56%，继发性肾小球疾病占18．71%，原发性肾小球疾病中以IgA肾病和系膜增生性肾小球肾炎比例较高，继发性肾小球疾病以狼疮性肾炎最多，其次为过敏性紫癜性肾炎和糖尿病肾病；苏南地区高血压性肾损伤和系膜增生性肾小球肾炎较苏北地区多见，而急性肾小管坏死和过敏性紫癜性肾炎则低于苏北地区。结论原发性肾小球疾病是江苏地区最常见的肾小球病，其中以IgA肾病发病率最高；继发性肾小球疾病以狼疮性肾炎多见；某些肾脏疾病发病率存在地域差异。
목적：탐토강소지구1645례신활검자료적류행병학특점급병리류형。방법회고성분석2009년1월~2013년6월경피신활검적1645례표본병리자료，병진행통계화총결。결과1645례신활검천자성공1597례，성공솔위97．1%；원발성신소구질병점78．56%，계발성신소구질병점18．71%，원발성신소구질병중이IgA신병화계막증생성신소구신염비례교고，계발성신소구질병이랑창성신염최다，기차위과민성자전성신염화당뇨병신병；소남지구고혈압성신손상화계막증생성신소구신염교소북지구다견，이급성신소관배사화과민성자전성신염칙저우소북지구。결론원발성신소구질병시강소지구최상견적신소구병，기중이IgA신병발병솔최고；계발성신소구질병이랑창성신염다견；모사신장질병발병솔존재지역차이。
Abtract:Purpose To analyze epidemiological characteristics and pathological types of 1 645 renal biopsies in Jiangsu province. Methods The reports of 1 654 percutaneous renal biopsies performed from January 2009 to June 2013 were retrospectively analysed . Results 1 597 out of 1 645 renal patients were successfully biopsied with a success rate of 97. 1%. Primary glomerular diseases ac-counted for 78. 56% of the total patients, secondary glomerular diseases 18. 71%. IgA nephropathy and mesangial proliferative lession accounted for high percent of primary glomerular diseases. Lupus nephritis was the most frequent pathologic type of secondary glomeru-lar diseases, followed by allergic purpura nephritis and diabetic nephropathy. Mesangial proliferative glomerulonephritis and hyperten-sive renal injury were more common in the Southern than in the Northern Jiangsu province, while acute tubular necrosis and allergic purpura nephritis were less in the Southern Jiangsu province. Conclusions Primary glomerular disease is still the most frequent glo-merular diseases in Jiangsu province, among which the IgA nephropathy was predominated. In secondary glomerular disease, lupus ne-phritis is the most frequent pathological type. The incidences of kidney diseases have geographical variation.