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475例肾活组织检查病理资料分析

Analysis of pathological data of renal biopsy: a report of 475 cases
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摘要 目的:了解阳泉市肾脏病患者流行病学特点及肾脏病理类型构成。方法:回顾性分析2004年9月—2017年10月475例病理资料。结果:患者中位年龄为44岁,男女比例为1∶1.3。原发性肾小球疾病(394例,82.9%)是最常见的肾脏疾病,而在原发性肾小球疾病中,以膜性肾病最多见(43.6%),其次为Ig A肾病(25.6%)和肾小球微小病变(12.2%);继发性肾脏病以狼疮性肾炎最为常见(36.2%),其次为过敏性紫癜性肾炎(21.7%)和糖尿病肾病(14.5%)。结论:原发性肾小球疾病仍为最常见的肾小球疾病,其中以膜性肾病最为常见。继发性肾脏病最常见的病理类型为狼疮性肾炎。 Objective: To analyze the renal pathological types in order to improve the level of diagnosis. Methods: To analyze the renal pathological data of 475 patients in hospital from September 2004 to October 2017. Results: The median age of the 475 patients was 44 years,male: female ratio was 1∶ 1. 3. Among 475 patients 394 patients were primary glomerular disease( accounts for 82. 9%) which was the most common disease. The leading primary glomerular disease was membranous nephropathy( accounts for 43. 6%),followed by Ig A nephropathy( accounts for 25. 6%) and minimal change disease( accounts for 12. 2%). In second glomerular diseases,lupus nephritis was the most common pathological type( accounts for 36. 2%),followed by henoch-schonlein purpura nephritis( accounts for 21. 7%) and diabetic nephropathy( accounts for 14. 5%). Conclusion: Primary glomerular disease was the most common kidney disease,membranous nephropathy was the most common type of primary glomerular disease,and lupus nephritis was the most common pathological type of second glomerular diseases.
作者 张文军 魏丽红 王志东 ZHANG Wenjun;WEI Lihong;WANG Zhidong(The First People′s Hospital of Yangquan,Yangquan 045000,Chin)
出处 《临床医药实践》 2018年第8期606-608,共3页 Proceeding of Clinical Medicine
关键词 肾活组织检查 病理类型 肾小球疾病 renal biopsy;pathological types;glomerular disease
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