期刊文献+

具有肾小球弥漫结节样改变的肾脏病理诊断 被引量:5

Differential diagnosis of diffuse glomerular nodular changes
下载PDF
导出
摘要 目的探讨肾小球弥漫结节样改变的病理学诊断特征。方法回顾性总结分析127例肾小球以弥漫结节样改变为主的肾活检患者的病理诊断。结果肾小球弥漫结节样改变在糖尿病肾病、淀粉样变性肾损害、膜增生性肾炎、Ⅳ型狼疮性肾炎中最为常见,还可见于轻链沉积病、冷球蛋白血症肾损害等少见疾病中。结论肾小球弥漫结节样改变可有多种不同的肾脏病理诊断,我们应结合临床和实验室数据进行相应的鉴别诊断。 Objective eases with diffuse glomerular To explore the clinical and pathological characteristics in diagnosing the renal disnodular changes. Methods The clinical and pathological data of 127 patients whose renal pathological feature was mainly diffuse glomerular nodular changes were retrospectively analyzed. Results The most common diagnosis was diabetic nephropathy and renal amyloidosis, and sometimes light chain deposit diseases and Mix cryoglobulinemia. Conclusion Diffuse glomerular nodular changes occurred in many diseases. We should make differential diagnosis based on the clinical symptoms, the results of laboratory examinations and the renal pathological characteristics.
出处 《第三军医大学学报》 CAS CSCD 北大核心 2008年第2期107-109,共3页 Journal of Third Military Medical University
关键词 肾活检 肾脏病理 鉴别诊断 renal biopsy renal pathology differential diagnosis
  • 相关文献

参考文献6

  • 1Herzenberg A M,Holden I K,Singh S,et al.Idiopathic nodular glomerulosclerosis[J].Am J Kidney Dis,1999,34 (3):560-564.
  • 2李敛,吴雄飞,余荣杰,赵洪雯,干磊,陈丽萍.1096例肾脏活检病理类型总结[J].重庆医学,2006,35(18):1676-1678. 被引量:26
  • 3Suzuki D,Takano H,Toyoda M,et al.Evaluation of renal biopsy samples of patients with diabetic nephropathy[J].Intern Med,2001,40(11):1077 -1084.
  • 4张胜兰,张爱平,邢万佳,郭徽,王艳侠,张秀英,王滨.170例糖尿病肾病肾活检分析[J].中华糖尿病杂志(1006-6187),2005,13(1):46-48. 被引量:10
  • 5王素霞,邹万忠,张烨,王书合,柴立军,汤秀英.轻链肾病的病理学特点[J].中华病理学杂志,2003,32(6):506-510. 被引量:6
  • 6Gu X,Barrios R,Cartwright J,et al.Light chain crystal deposition as a manifestation of plasma cell dyscrasias:the role of immunoelectron microscopy[J].Hum Pathol,2003,34 (3):270-277.

二级参考文献13

  • 1Mazzucco G, Bertani T, Fortunato M,et al. Different patterns of renal damage in type 2 diabetes mellitus: A mUlticentric study on 393 biopsies, Am J Kidney, 2002,39:713-720.
  • 2Lee ey, Chung CH, Choi SO. Non-diabetic renal disease in patients with non-insulin-dependent diabetes mellitus. Yonsei Med,1999,40: 321-326.
  • 3Suzuki D, Takano H, Toyoda M, et al. Evaluation of renal biopsy sameples of patients with diabetics nephropathy. Intern Med, 2001, 40:1071-1072.
  • 4Prakash J, Sen D Usha. Non-diabetic renal disease in patients with type 2 diabetes mellitus, J Assoc Physicians India, 2001,49:415-418.
  • 5Churg J,Bernstein J,Glassock RJ.Renal disease-classification and atlas of glomerular disease[M].2nded.New York:Ikagu-Shoin Medical Publishers Inc,1995.4
  • 6Hass M,Meehan SM,Karrison TG,et al.Changing etiologies of unexplained adult nephrotic syndrome:a comparison of renal biopsy findings from 1976-1997[J].Am J Kidney Dis,1997,30:621.
  • 7Chan KW,Chan TM,Cheng IKP.Clinical and pathological characteristics of patients with glomerular diseases at a university teaching hospital:5-year prospective review[J].J Hong Kong Med Assoc,1999,5(3):240
  • 8Atratta P,Segoloni GP,Canavese C,et al.Incidence of biopsy-proven primary glomerulonephritis in an Italian province[J].Am J Kidney Dis,1996,27:631
  • 9E. H. Str?m,M. Mihatsch,G. Fogazzi,G. Banfi,C. Pozzi. Light chain deposition disease of the kidney. Morphological aspects in 24 patients[J] 1994,Virchows Archiv(3):271~280
  • 10陈惠萍,曾彩虹,尹广.浆细胞病的肾损害——轻链沉积病[J].肾脏病与透析肾移植杂志,1997,6(5):486-490. 被引量:10

共引文献37

同被引文献51

  • 1张眉花,杨慧霞,孙伟杰.糖尿病家族史与妊娠期糖代谢异常发病相关性的前瞻性对照研究[J].中华糖尿病杂志(1006-6187),2005,13(3):163-166. 被引量:83
  • 2张晓暄,李银辉,郑伟,李根,那宇.单侧输尿管梗阻大鼠肾间质纤维化中氧化应激的变化[J].中国现代医学杂志,2007,17(4):414-417. 被引量:10
  • 3王海燕 郑法雷 等.原发性肾小球疾病分型与治疗及诊断标准专题座谈会纪要[J].中华内科杂志,1993,2:131-134.
  • 4Umeji K, Umemoto S, Itoh S, et al. Comparative effects of pitavastatin and probucol on oxidative stress, Cu/Zn superoxide dismutase, PPAR-gamma, and aortic stiffness in hypercholesterolemia[ J]. Am J Physiol Heart Circ Physiol, 2006, 291 (5) : H2522 -H2532.
  • 5Du J, Wang L, Liu X, et al. Janus kinase 2/signal transducers and activators of transcription signal inhibition regulates protective effects of probucol on mesangial cells treated with high glucose [ J ]. Biol Pharm Bull, 2010, 33(5) : 768 -772.
  • 6Ceriello A. New insights on oxidative stress and diabetic complications may lead to "causal" antioxidant therapy [ J ]. Diabetes Care, 2003, 26(5) : 1589 -1596.
  • 7UK Prospective Diabetes Study (UKPDS) Group. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes ( UKPDS 33) [ J]. Lancet, 1998, 352(9131 ) : 837 - 853.
  • 8Brownlee M. The pathobiology of diabetic complications: a unifying mechanism[ J]. Diabetes, 2005, 54(6) : 1615 - 1625.
  • 9Enomoto A, Niwa T. Roles of organic anion transporters in the progression of chronic renal failure [ J ]. Ther Apher Dial, 2007, 11 ( Suppl 1 ) : S27 - S31.
  • 10Coronel I, Arellano-Mendoza M G, del-Valle-Mondragon L, et al. L-arginine and antioxidant diet supplementation partially restores nitric oxide-dependent regulation of phenylephrine renal vasoconstriction in diabetics rats[J]. J Ren Nutr, 2010, 20(3) : 158 -168.

引证文献5

二级引证文献12

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部