江苏省泰州地区334例经皮肾穿刺活检临床病理分析  

Analysis on clinicopathological data of 334 cases undergoing percutaneous renal biopsy in Taizhou region

作　　者：章旭[1] 曹娟[1] 李海涛[1] 丁浩[1] 吴伟翔[1] 许琴[1] 赵彩霞[1] 

机构地区：[1]江苏省泰兴市人民医院,江苏泰兴225400

出　　处：《实用临床医药杂志》2011年第17期33-36,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨泰州地区肾活检患者的临床及病理特点,以及2者之间的关系。方法回顾性分析江苏省泰州地区近4年因肾脏疾病行经皮肾穿刺组织活检患者的年龄、病因、临床特点和病理类型,并探讨其临床特点和病理类型之间的关系。结果本组患者中,男性占53.3%,女性占46.7%;平均年龄:男(39.1±18.1)岁、女(40.8±13.3)岁。原发性肾小球肾炎(PGD)主要临床表现为慢性肾小球肾炎占62.7%。PGD常见病理类型依次为系膜增生性肾小球肾炎(MsPGN)36.4%I、gA肾病29.8%、FSGS11.0%。继发性肾小球肾炎最常见的病理类型是狼疮性肾炎37.7%。结论本地区肾活检患者青壮年多见,以原发性肾脏疾病最常见,常见的病理类型依次为MsPGN、IgA肾病、FSGS。继发性肾小球疾病以狼疮性肾炎、紫癜性肾炎和高血压肾病居前3位。Objective To investigate the clinical and pathological features of renal biopsy patients in Taizhou region and the relationship between them.Methods Retrospective analysis of age,etiology,clinical features and pathological types of 334 cases of patients with renal biopsy in the past four years in Taizhou region was done.The relationship between the clinical manifestations and pathological types was investigated.Results Among these patients,male accounted for 53.3% and female 46.7%;average age： males were（39.1±18.1）years old and females（40.8±13.3）years old.The main clinical manifestation of primary glomerulonephritis（PGN） was chronic glomerulonephritis（62.7%）.The common pathological types of PGN were mesangial proliferative glomerulonephritis（MsPGN 36.4%）,followed by IgA nephropathy（29.8%） and focal segmental glomerular sclerosis（FSGS 11%）.The most common pathological type of secondary glomerulonephritis was lupus nephritis（37.7%）.Conclusion The majority of patients with renal biopsy in Taizhou region are young adults,and the most prevalent disease is primary nephropathy among which the common pathological types are MsPGN,followed by IgAN and FSGS.The top three of secondary ephropathy are lupus nephritis,purpura nephritis and hypertensive nephropathy.

关 键 词：肾脏疾病 临床 病理 回顾性研究 

分 类 号：R692[医药卫生—泌尿科学]