摘要
目的探讨天门市IgA肾病患者肾脏病理类型与临床表现的相关性。方法对52例原发性Xga肾病患者的l临床及病理资料进行回顾性分析。结果52例IgA肾病患者中20例（57．69％）临床表现为血尿＋蛋白尿，15例（28．85％）临床表现为肾病综合征。15例（28．85％）病理类型为系膜增生性肾炎（Lee氏Ⅰ级），16例（30．77％）病理类型为局灶性节段性肾小球硬化（Lee氏Ⅲ级）。结论IgA肾病临床表现多样化，临床表现与病理类严重程度并不一致，应尽早行肾活检术确诊。
Objective To investigate the correlation between the clinical manifestations and pathological types in patients with IgA nephropathy in Tianmen, Hubei Province. Methods The clinical and pathological data of 52 patients with primary IgA nephropathy diagnosised by renal biopsy were analyzed retrospectively. Results In 52 patients with primary IgA nephropathy, 20 cases （57.69%） were manifested as hematuria and proteinuria, 15 cases（ 28.85% ） were manifested as nephrotic syndrome. 15 cases（28.85% ）were mesangial proliferative glomerulonephritis（ Lee＇ s Ⅰ ）, 16 cases（30.77% ） were focal segmental glomerulosclerosis （Lee＇ s Ⅱ ）. Conclusions The clinical manifestations of IgA nephropathy are very diverse. The severity of the clinical manifestations are not in step with the pathologic changes. Therefore, renal biopsy should be done early in order to confirm the diagnosis.
出处
《中国实用医刊》
2013年第5期63-64,共2页
Chinese Journal of Practical Medicine
关键词
IGA肾病
病理类型
肾活检
IgA nephropathy
Pathological type
Renal biopsy
