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本文对307例经肾活检有完整资料的原发性肾小球肾炎患者的临床及病理类型进行分析,从而探讨它们之间的关系。结果:肾小球肾炎10种主要病理类型的分布以系膜增殖性肾小球肾炎居首位,占30.9%,其次为IgA 肾病(18.9%)及局灶性节段性肾小球硬化(14.7%);男女性分别占74.3%及25.7%;各型中患病平均年龄以膜性肾病(37.6岁)为最大;肾病综合征最常见于膜性肾病,占66.67%;反复发作性肉眼血尿则以IgA 肾病居多;40.00%的局灶性节段性肾小球硬化发生高血压;肾功能减退最明显的是局灶硬化和IgA 肾病。实验室检查有助于判断肾小球、肾小管和间质病变的轻重。本文探讨了微小与非微小病变的计算机分型,其分辨率可达90%以上。
In this paper, 307 cases of primary glomerulonephritis by renal biopsy with complete information on the clinical and pathological types were analyzed to explore the relationship between them. Results: The distribution of 10 major pathological types of glomerulonephritis was the highest in mesangial proliferative glomerulonephritis (30.9%), followed by IgA nephropathy (18.9%) and focal segmental glomerulosclerosis 14.7%). Male and female accounted for 74.3% and 25.7% respectively. The average age of all patients was membranous nephropathy (37.6 years), nephrotic syndrome was most common in membranous nephropathy (66.67%), recurrent Hematuria is mostly IgA nephropathy; 40.00% focal segmental glomerulosclerosis hypertension; renal dysfunction most obvious focal sclerosis and IgA nephropathy. Laboratory tests can help determine the severity of glomerular, tubular and interstitial lesions. This article explores the computer classification of small and non-small lesions with a resolution of up to 90%.