目的研究分析肾小球疾病病理类型以及流行病学特点。方法根据我院接收的629例肾活检病理资料来进行探讨分析。结果此次接受肾小球病理活检的患者年龄为11～81岁。病因如下：530例原发性肾小球疾病，占研究总数的84.3%，94例继发性肾小球疾病，占研究总数的14.9%，5例小管间质性疾病，占研究总数的0.8%。病理类型如下：男性主要是原发性肾小球疾病，共有218例膜性肾病，占研究总数的41.1%；122例肾小球轻微病变，占研究总数的23%；84例IgA肾病，占研究总数的15.8%；系膜增生肾小球肾炎45例，占研究总数的8.5%。继发性肾小球中多为女性患者，有46例狼疮性肾炎，占研究总数的48.9%；9例糖尿病肾病，占研究总数的9.6%；紫癜性肾炎12例，占研究总数的12.8%。结论我院的肾脏疾病患者以原发性肾小球疾病患者居多，膜性肾病患者最多，然后是微小病变和IgA肾病，女性患者多为继发性肾小球疾病，以狼疮性肾炎为主。%Objective To study the pathological type and epidemiological characteristics of glomerular disease. Methods Chose 629 cases of renal biopsy in our hospital and analysed the pathological data. Results the acceptance of glomerular pathological biopsy patients aged 11 to 81 years old. The causes were as follows: 530 cases of primary glomerular disease,accounting for 84.3% of the total number of the study, 94 cases of secondary glomerular diseases,accounting for 14.9% of the total number of the study,5 cases of tubular interstitial disease, accounting for 0.8%. Pathological types were as follows: Men were mainly primary glomerular disease,a total of 218 cases of membranous nephropathy,accounting for 41.1%. 122 cases of mild glomerular lesions,accounting for 23%. 84 cases of IgA nephropathy,accounting for 15.8%. Mesangial proliferative glomerulonephritis in 45 cases,accounting for 8.5%. Secondary glomerular mostly were female patients,46 patients with lupus nephritis,accounting for 48.9%. 9 cases of diabetic nephropathy,accounting for 9.6% of the total research. Nephritis 12 cases,accounting for 12.8%. Conclusion For patients with renal diseases in our hospital,the primary glomerular diseases are most common,most patients have membranous nephropathy,then small lesions and IgA nephropathy. Most female patient have secondary glomerular diseases,and mainly are lupus nephritis.
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