无症状蛋白尿患者临床病理分析  

Clinical pathological analysis of 96 patients with asymptomatic proteinuria

作　　者：谷红霞[1] 赵新平 倪西泉[1] 高鑫[1] 张明[1] 

机构地区：[1]88医院肾内科,山东泰安271000 [2]聊城军分区干休所,山东聊城252000

出　　处：《实用医药杂志》2007年第3期265-266,共2页Practical Journal of Medicine & Pharmacy

摘　　要：目的探讨无症状蛋白尿或伴血尿患者的肾脏临床和病理特点。方法体检发现蛋白尿患者共96例,行肾脏穿刺。结果96例患者中,单纯蛋白尿者19例(19．8),伴血尿者77例(80．2%);伴高血压者43例(44．8%)。其中系膜增生性肾小球肾炎55例(57．3%),IgA肾病27例(28．1%),局灶节段性肾小球硬化症3例(3．1%),膜性肾病4例(4．2%),新月体性肾小球肾炎7例(7．3%)。结论部分无症状蛋白尿患者病理类型较重,开展尿常规普查,能早期筛选出肾脏疾病患者,及时治疗可改善预后。Objective To study the clinical feature and pathology of the patients with asymptomatic proteinuria. Methods Renal biopsy was performed on 96 patients who were found proteinuria on routine examination. Results Among the 96 patients, 19 （19.8） had isolated proteinuria, and 77 （80.2%） also simultaneously associated with proteinuria and hematuria;43 （44.8%）were associated with hypertension. Pathologically,55 cases had mesangial proliferative glomerulonephritis accounted for 57.3%;27 cases IgA nephropathy for 28.1%; 3 eases focal segmental glomeruloselerosis for 3.1%;4 eases membranous nephropathy for 4.2%;crescentic glomerulonephritis for 7 （7.3%）.Conclusion Because pathology of some patients with asympto-matic proteinuria is serious,routine urine analysis in population is helpful for screening early patients with renal disease, so as to timely treat and improve their prognosis.

关 键 词：蛋白尿 血尿 肾病理 

分 类 号：R692.3[医药卫生—泌尿科学]