158例肾活检病理及临床分析

摘要

目的 回顾性总结158例肾活检的病理结果,分析其病理类型及临床分类特点.方法 总结我院158例肾活检病理资料,分析其病理类型与临床分类特点.结果 158例肾活检中原发性肾小球疾病125例(79.11％),继发性肾小球疾病33例(20.89％).原发性肾小球疾病病理类型最多的是系膜增生型肾炎,第二位是IgA肾病,继发性肾小球疾病以紫癜性肾炎病理类型最多.原发性肾小球疾病临床分布最多的前三位依次是肾病综合征、慢性肾炎、IgA肾病.其中肾病综合征的病理类型主要是系膜增生型和膜性肾病,慢性肾炎的主要病理类型是系膜增生型和肾小球硬化.结论 原发性肾小球疾病是最常见的肾小球疾病,肾活检病理类型以系膜增生型肾炎、IgA肾病最多,临床类型则以肾病综合征、慢性肾炎、IgA肾病最为多见.%Objective To retrospectively summarize the pathological results of 158 cases of renal biopsy, and to analyze the pathological types and clinical classification. Methods The pathological data of 158 cases of renal biopsy were pathology retrospectively analyzed. Results Among the 158 cases, 125 cases (79.11%) were of primary glomerular disease and 33 cases (20.89%) were of secondary glomerular diseases. The most common pathological type of primary glomerular disease was mesangial proliferative glomerulonephritis, the second was IgA nephropathy. The most common pathological type of secondary glomerular diseases was purpura nephritis. The top three primary glomerular diseases with most clinical distribution were nephrotic syndrome, chronic nephritis, IgA nephropathy. The main pathological types of nephrotic syndrome were mesangial proliferative and membranous nephropathy, and the main types of chronic nephritis was mesangial proliferative and glomerular sclerosis. Conclusion Primary glomerular disease is the most common renal disease occurred in China. The most common pathological types of renal biopsy are mesangial proliferative glomerulonephritis and IgA nephropathy, and the most common clinical types are nephrotic syndrome, chronic nephritis, and IgA nephropathy.