肾小球疾病的病理诊断与临床(附92例肾脏活检分析)  

Clinical pathology of glomerular disease:Analysis on 92 cases of biopsy

作　　者：郑庆璇[1] 胡尚品[1] 宋泽开[1] 王煜华[1] 郑亚莉[1] 

机构地区：[1]宁夏医学院病理教研室 [2]宁夏医学院附属医院

出　　处：《宁夏医学杂志》1997年第3期132-133,共2页Ningxia Medical Journal

基　　金：卫生厅科研课题

摘　　要：为进一步了解肾脏病的组织学特点及类型，采用经皮肾穿，对肾脏活检标本行常规光镜、组织化学及免疫荧光检查。显示９２例肾脏病中，原发性肾小球病占７１．７％（６６／９２），继发性肾小球病占２８．３％（２６／９２）；不论原发性或继发性肾脏疾病，其病理形态学改变以局灶性肾小球病为主，且病变主要累及系膜区。同时明确诊断ＩｇＡ肾病５例，ＩｇＭ肾病１例。淀粉样变性肾病１例，说明肾脏活体组织检查的重要性和必要性。The biopsy of kidney was not demonstrated until this time in our district.In order to recognized the histological features and types of renal disease in our district,the routine microscopic,histological and immofluorescencal observation were carried in specimen of renal biopsy going through skin puncture.The result was showed 71.7%(66/92) of primary glomerular disease and 28.3%(26/92) of secondary glomerular disease in 92 cases of renal disease.The focal glomerular disease was pathomorphologically principal Iesion either in primary or secondary disease.These Iesions mainly involved the mesangial portion.The diagnosis was made in 5 cases of IgA nephropath,one case of of IgM nephropath and one case of amyloid nephropath.The importance and necessary of biopsy of kidney was discussed.

关 键 词：肾小球疾病 病理 诊断 肾活检 

分 类 号：R692.604[医药卫生—泌尿科学]