摘要
一、肾活检的临床意义(一)诊断价值1.肾炎综合征和肾病综合征的分类诊断对于肾小球疾病患者的诊断,肾活检是必不可少而且是关键的诊断程序。对于那些临床特征不能明确反映病因的患者,肾活检是判断肾小球病变类型的唯一方法,从而指导正确治疗方案的制定。不仅对于表现为慢性。肾炎综合征的患者如此,对于表现为急性肾炎综合征和急进性肾小球肾炎的患者也是如此。肾活检还可为诊断遗传性肾小球疾病提供重要信息。
出处
《器官移植内科学杂志》
2013年第1期25-33,共9页
Journal of Transplant Medicine
参考文献29
-
1Tisher CC. Clinical Indications for Kidney Biopsy, In: Tisher CC, Brenner BM(eds): Renal Pathology. 2nd Edition, Vol I. Philadelphia, J. B. Lippincott Company. 1994, pp75-84.
-
2Trachtman tt, Weiss RA, Bennett B, et al. Isolated hemamria in children: Indications for a renal biopsy. Kidney lnt 1984, 25: 94-99.
-
3林琳,金石昆,张桦,林宇静,邹和群.IgA肾病肾小管间质病变的临床病理分析[J].临床肾脏病杂志,2004,4(5):213-215. 被引量:6
-
4张树新,邹和群,崔慧敏,李铎,赖德源,王沛.狼疮肾炎肾间质浸润与肾损害进展及肾功能相关性的研究[J].中华风湿病学杂志,2003,7(9):544-547. 被引量:7
-
5王国春,邹和群,吴东海,王丽英,王辉,熊重祥,赖德源.临床及肾穿病理参数对狼疮肾炎预后的影响[J].中华风湿病学杂志,2001,5(6):367-371. 被引量:9
-
6Falk RJ, Jennette JC, Nachman PH: Primary glomerular diseases. In Brenner BM (ed): The Kidney, 61h ed. Philadelphia: WB Saunders. 1999, pp1263-I 349.
-
7Morel-Maroger L. The value of renal biopsy. Am J Kidney Dis 1982, 1: 244-248.
-
8Neilson EG Pathogenesis and therapy of interstitial nephritis. Kidney Int 1989, 35: 1257-1270.
-
9Galpin JE, Shinaberger JH, Stanley TM. et al. Acute interstitial nephritis due to methicillin. Am J Med 1978, 65: 756.
-
10Zakheim B, McCafferty E, Phillips SM, et al. The adoptive transfer of disease with immune T lymphocytes produces a phenotypically complex interstitial lesion. J Immunol 1984, 133(1): 234-239.
二级参考文献59
-
1潘缉圣.IgA肾病[A]..肾脏病学:第2版[C].北京:人民卫生出版社,1996.718.
-
2Heyward MS, Lawrenle JH. Influence of range of renal function and liver disease on predictability of creatinine clearance. Clin Pharmacol Ther, 1981, 29: 516-521.
-
3Schena FP. IgA Nephropathies. In: Cameron JS, Davison AM. Oxford Textbook of Clincal Nephrology. VolI, Ist ed, Oxford, Oxford University Press, 1992. 339-369.
-
4Fujii K, Kobayashi Y. Quantiative analysis of interstitial alterations in lupus nephritis. Virchows Arch, 1998, 414: 45-52.
-
5Purkerson ML,Hoffsten PE,Klahr S. Pathogenesis of the glomerulopathy associated with renal infarction in rats. Kidney Int, 1976,9:407-417.
-
6Olivetti G,Anversa P,Pigamonti W,et al. Morphometry of the renal corpuscle during normal postnatal and compensatory hypertrophy.J Cell Biol, 1977,75:573-580.
-
7Shea SM,Raskova J,Morrison AB.A stereologic study of gloraerular hypertrophy in the subtotally nephectomized rat. Am J Pathol,1978,90:201-210.
-
8Olson JL,Hostetter TH, Rennke HG, et al. Mechanisms of altered glomerlar permselectivity and progressive sclerosis following extreme ablation of renal mass. Kidney Int, 1982,22:112-116.
-
9Bohle A, Machenson-Haen S,Gise H. Significance of tubulointerstitial changes in the renal cortex for excretory function and concentration ability of the kidney: a morphometric contribution. Am J Nephrol, 1987,7: 421-433.
-
10Bohle A, Machenson-Haen S,Gise H. The consequences of tubulointerstitial changes for renal function in glomerulopathies. Pathol Res Pract, 1990,186:135-144.
共引文献19
-
1佘萍莉,李秋.儿童IgA肾病的临床与病理分析[J].重庆医学,2005,34(10):1450-1452. 被引量:2
-
2蔡茹艺,卫建平,张小琴,吴丽然,王晨,姚舒蕾.乙型肝炎病毒感染与狼疮肾炎肾小管间质病变的研究[J].中华风湿病学杂志,2007,11(10):604-606. 被引量:3
-
3杨敬华,周巧玲,聂晚年,邓声莉.狼疮肾炎患者尿MCP-1测定的临床意义[J].医学临床研究,2007,24(12):2069-2070. 被引量:1
-
4任立敏,叶华,赵金霞,潘思思,栗占国.系统性红斑狼疮五年生存率及预后因素分析[J].中华风湿病学杂志,2009,13(3):156-158. 被引量:29
-
5付利兰,张善武.62例儿童IgA肾病的临床表现与病理分析[J].四川医学,2009,30(3):395-396.
-
6姚舒蕾,张晓琴,吴丽然,卫建平.狼疮肾炎患者肾小管间质病变与肥大细胞巨噬细胞转化生长因子β_1和T细胞表达的相关分析[J].实用医技杂志,2010,17(5):413-415. 被引量:1
-
7孙楠,刘乾,石理华,李瑛,李辉.肾移植后移植肾功能的延迟恢复[J].中国组织工程研究,2012,16(18):3245-3248. 被引量:4
-
8靳小石,矫政洧,张爱民,程树杰,刘彤,王鹏志.PDGF在小肠移植物中的表达及意义[J].医学研究与教育,2012,29(6):1-4.
-
9靳小石,矫政洧,张爱民,程树杰,刘彤,王鹏志.环孢素干预小肠移植物中转化生长因子β1的表达[J].中国组织工程研究,2012,16(53):9960-9964.
-
10赖德源,邹和群.雷帕霉素类药物治疗慢性排斥反应的研究进展[J].器官移植内科学杂志,2012,7(4):157-161.
同被引文献20
-
1钱白音,邹和群,黄志清,傅玉如,李铎,赖德源,周文英.原发性慢性肾小球肾炎与尿白蛋白片段的关系[J].中山大学学报(医学科学版),2004,25(4):347-349. 被引量:2
-
2林琳,金石昆,张桦,林宇静,邹和群.IgA肾病肾小管间质病变的临床病理分析[J].临床肾脏病杂志,2004,4(5):213-215. 被引量:6
-
3Weening JJ, Jennette JC. Historical milestones in renal pathology. Virchows Arch 2012, 461(1): 3-11.
-
4Thomsen AC. The value of the renal biopsy method and the evaluation of renal biopsy material. The kidney in diabetes mellitus. Copenhagen: Munksgaard 1965, 30-43.
-
5Madaio MP. Renal biopsy. Kidney Int 1990, 38(3): 529-543.
-
6Bohle A, Mackensen-Haen S and von Gise H. Am J Nephrol 1987, 7: 421.
-
7Rangan GK, Tesch GH. Quantification of renal pathology by image analysis. Nephrology 2007, 12 553-558.
-
8Toto RD. Acute tubulointerstitiai nephritis. In: Jacobson HR, Striker GE, Klahr S (eds). The Principles and Practice of Nephrology. St Louis: Mosby-Year Book Inc 1995, 207-216.
-
9Verani 1L Nasir M, Foley R. Am J Nephrol 1989, 9: 51.
-
10Esdaile JM, Leveinton C, Federgreen W, et al. The clinical and renal biopsy predictors of long-term outcome in lupus nephritis: A study of 87 patients and review of the literature. Q J Med 1989, 72: 779-833.
-
1刘淑英,田素梅.1例肺出血肾炎综合征的护理[J].黑龙江护理杂志,1997,3(1):35-36.
-
2刘淑英,田素梅.1例肺出血肾炎综合征患者的护理[J].适宜诊疗技术,1996,14(4):42-43.
-
3本刊编辑部.请您收藏——泌尿系统疾病诊断公式[J].中国全科医学,2013,16(30):3606-3606.
-
4刘淑英,田素梅.肺出血肾炎综合征1例的护理体会[J].齐鲁护理杂志,1998,4(5):57-57.
-
5柯峰,张彦.肺出血—肾炎综合征1例报告[J].现代医药卫生,1998,14(3):158-158.
-
6黄笑群,宋敏,于生友,于力.连续个性化追踪对农民工新生儿遗传性肾小球疾病肾功能恢复的影响[J].临床医学工程,2016,23(7):949-950.
-
7许明智.急进性肾小球肾炎的护理措施[J].中国医药指南,2014,12(33):337-337. 被引量:1
-
8井玉芳,李彩凤,宋营,曲丹丹.急进性肾小球肾炎患者的护理[J].中国卫生标准管理,2014,5(23):37-38. 被引量:2
-
9朱碧芬.一例肺出血-肾炎综合征的护理[J].护士进修杂志,2011,26(3):288-288. 被引量:2
-
10汪玉芹,刘庆梅.395例肾活检患者临床与病理分析[J].中国当代医药,2011,18(25):72-73. 被引量:2