摘要
糖尿病已成为我国慢性肾脏病的首要病因,糖尿病合并肾脏损害的病理类型较为复杂多样,尿蛋白和糖尿病视网膜病变并非糖尿病肾病的敏感指标,肾活检是明确糖尿病肾病的金标准,是减少误诊漏诊的重要手段。正确把握肾活检禁忌证的前提下,宽泛糖尿病肾病肾活检指征,对糖尿病合并肾脏损害积极行肾活检。
Diabetes mellitus has become the leading cause of chronic kidney disease in China. The research increasingly shows that macroalbuminuria/proteinuria and diabetic retinopathy are not sensitive markers for diabetic kidney disease. However, the pathology of diabetes mellitus with renal injury is complicated.On the basis of appropriately identify the biopsy contra-indications and broaden the biopsy indications for diabetic kidney disease. Renal biopsy is the golden standard and very important method to reduce the misdiagnosis. Therefore, a more extensive use of biopsy is advisable.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2017年第3期192-194,共3页
Chinese Journal of Practical Internal Medicine
基金
十三五国家重点研发计划重大慢性非传染性疾病防控研究(2016YFC1305403)
