118例肾活检临床诊断和病理的回顾性分析  

Retrospective analysis on clinical and pathologic patterns based on 118 native kidney biopsies

作　　者：李添竹[1] 张伟利[1] 秦秀春[1] 赵延君[1] 刘国峰[1] 

机构地区：[1]齐齐哈尔市第一医院肾内科,黑龙江省160005

出　　处：《齐齐哈尔医学院学报》2012年第8期1003-1004,共2页Journal of Qiqihar Medical University

摘　　要：目的分析近4年来118例肾活检患者肾脏疾病病理类型分布及不同年龄段肾脏疾病构成比变化特点。方法回顾分析2008年3月～2011年11月118例在齐齐哈尔市第一医院行肾活检患者肾脏疾病的构成比差异,根据年龄段分成四组,并分析每组的肾脏构成特点。结果原发性肾小球疾病是肾脏疾病主要类型(占90.6%),其每年比例保持稳定。系膜增生性肾小球肾炎是最常见的原发性肾小球疾病,占30.8%。继发性肾脏疾病中,紫癜性肾炎、狼疮性肾炎逐年提高。不同年龄段患者肾脏疾病的构成比有统计学差异。18岁以下患者最常见的原发性肾脏疾病为微小病变,中青年患者最常见的继发性肾脏疾病是狼疮性肾炎(5.1%)。结论肾脏构成比逐年变化,且有年龄特点。Objective In order to analyze the pathologic patterns of kidney biopsies in the past four years and to compare the age feature of pathologic patterns. Methods Reviewed the reports of 118 kidney biopsies, all the renal biopsies were performed in the First Hospital of Qiqihar, from Mar. 2008 to Dec. 2011. We divided them into 4 groups according to age, and analyzed the pathologic patterns on age distribution. Results The most common glomerulonephritis was still primary glomerulonephritis and holding a 90.6 high percentage,as for secondary kidney disease, the incidence of Henoch-Schonlein pu- pura nephropathy and lupus nephritis increased year after year. The distribution of both primary and secondary glomerulonephritis had age-associated relations. The most common pattern in patients under 18 years old patients was minimal change diseases. Lupus nephritis was the main patterns of secondary glomerulonephritis （5.1 %）in young and middle-aged adults. Conclusions The constituent ratio of histopathology types varies every year and had a age feature.

关 键 词：肾活检 原发性肾小球疾病 继发性肾小球疾病 

分 类 号：R726.926[医药卫生—儿科]