IgA肾病临床分型对治疗的意义  

THE SIGNIFICANCE OF CLINICAL CLASSIFICATION IN THE TREATMENT OF IGA NEPHROPATHY

作　　者：俞雨生[1] 黎磊石[1] 刘志红[1] 张景红[1] 王庆文[1] 曹玉琪[1] 林贵轩 

机构地区：[1]南京军区南京总医院肾脏科中国人民解放军肾病中心

出　　处：《解放军医学杂志》1992年第4期250-253,共4页Medical Journal of Chinese People's Liberation Army

摘　　要：总结近10年来我院所收治的463例IgA肾病患者。根据临床特征、病理、免疫病理特点、治疗反应及预后将其分为急性肾炎综合征(4.3％)、反复发作性肉眼血尿(31.1％)、孤立性肉眼血尿(7.8％)、无症状性尿检异常(34.8％)、肾病综合征(9.3％)、非肾病性大量蛋白尿(5.8％)及高血压(6.9％)等7型。根据不同的临床亚型采取分而治之的方法,能明显提高IgA肾病的治疗效果。本文还就临床分型的依据及临床意义进行了讨论。Based on the clinical criteria, 463 cases of primary IgA nephropathy were divided into 7 groups: recurrent gross hematuria (31.1%), isolated gross hematuria (7.8%), acute glome-rulonephritis syndrome (4.3%), abnormal urinalysis (34.8%), nephrotic syndrome (9.3%), non-nephrotic massive proteinuria (5.8%) and hypertension (6.9%). The correlation of clinical manifestations, renal histology, immunopathology, response to the treatment and prognosis of the patients in each category were thoroughly studied. The unique feature of patients in each group was delineated. It was considered that this classification could be helpful for the clinical management of IgA nephropathy.

关 键 词：IGA肾病 肾病综合征 扁桃体摘除 

分 类 号：R692[医药卫生—泌尿科学]