原发性慢性肾小球肾炎彩色多普勒成像特点与肾穿病理分型结果对比分析

Retrospective analysis on color doppler flow imaging and renal pathological typing in the primary chronic glomerulonephritis

目的探讨原发性慢性小球肾炎(CGN)多普勒成像(CDFI)特征与肾穿病理分型的关系。方法回顾性分析212例原发性慢性肾炎患者彩色多普勒成像特征与肾穿病理结果。结果 212例原发性慢性肾炎患者中,彩色多普勒检查未见异常者59例,肾穿病理分型为微小病变性肾炎41例,IgA肾病8例,系膜增生性。肾炎4例,膜性肾病3例,多种病理分型同时存在者3例;彩色多普勒诊断为双肾实质损害者98例,肾穿病理分型为IgA肾病41例,膜性肾病14例,系膜增生性肾小球肾炎12例,多种病理分型同时存在者31例;彩色多普勒诊断为双肾慢性损害或伴萎缩者55例,病理分型均为硬化性肾炎。结论观察肾脏的二维图像及CDFI情况,有助于对慢性肾炎的肾穿病理分型进行间接判断,从而判断预后情况。

Objective To study the correlation between ultrasonographic features and renal pathological typing of the primary chronic glomerulonephritis. Methods The comparison between features of Color doppler flow ima- ging （CDFI） and renal pathological typing in 212 cases of the primary chronic glomerulonephritis was performed. Resuits There were different ultrasonographic features and renal pathological typing in 212 cases of the primary chronic glomerulonephritis. CDFI showed no abnormalities in 59 cases whose pathological type was minimal change glomerulonephritis in 41 cases, IgA nephropathy in 8 cases, mesangial proliferative glomerulonephritis in 4 cases, membranous nephropathy in 3 cases, existence of variety pathological type in 3 cases. CDFI showed double renal parenchymal damage in 98 cases,whose pathological type was IgA nephropathy in 41 cases, membranous nephropathy in 14 cases, mesangial proliferative glomerulonephritis in 12 cases,existence of variety of pathological type indirectly judging 31 cases. CDFI showed double renal chronic damage and atrophy in 55 cases. Whose pathological type was sclerosis nephritis. Conclusion Observation of renal two-dimensional imaging and CDFI could help to indirectly judging renal pathological typing of chronic nephritis and prognosis.