163例IgM肾病的临床病理联系及临床资料分析

The clinical pathological relationship and clinical data analysis of 163 IgM nephropathy cases

提要本文对经肾活检证实的163例IgM肾病患者的临床表现、肾组织学改变及随访资料进行全面分析,总结出我国IgM肾病的临床、病理特点及其相互间联系,并对此病的正确治疗及预后也作了进一步的探讨。认为此病无论在临床表现上、在治疗的反应及预后上都有其特点,而不同于原发性系膜增殖型肾炎及IgA肾病。本文从临床角度上证实了IgM肾病是一组独立的疾病。

The clinical menifestation, renal histological change and follow-up data of 163 IgM nephropathy (IgMN) patients identified by renal biopsy were analysed in this article. We summarized the clinical and pathological characteristics and the relationship between them of the IgMN in our country, and also studied the correct treatment and prognosis of this disease in detail. We considered that this disease had its characteristics in the clinical menifestation, the response to treatment and prognosis, it differed from primary mesangial multiplicative nephritis and IgA nephropathy. We identified clinically that IgMN was a group of independent diseases.