Kliachko V R
Probl Endokrinol (Mosk). 1976 Jul-Aug;22(4):9-12.
In the suggested classification of affections of the kidneys in diabetes mellitus the main attention is paid to the vascular genesis of the appearing disturbances. The terms used formerly ("diabetic glomerulosclerosis", "diabetic nephropathy") failed to reflect the primary affections of the vessels. The following new terms are suggested: "diabetic microangionephropathy" (affection of the small vessels), "macroangiography" (affection of the large vessels), "diabetic angionephropathy" (complex affection of the renal vessels). "Pyelonephritis" (acute and chronic) was also introduced into the classification due to its exceedingly frequent occurrence in diabetes. The term "diabetic nephropathy" is suggested for complex affection including diabetic angionephropathy and pyelonephritis. Diabetic microangionephropathy should be divided into four clinico-laboratory stages; their characteristics are presented. Particular attention was paid to the accessibility of their diagnosis in medical institutions.
在糖尿病肾脏疾病的建议分类中，主要关注的是所出现病变的血管起源。以前使用的术语（“糖尿病肾小球硬化症”、“糖尿病肾病”）未能反映血管的原发性病变。现建议使用以下新术语：“糖尿病微血管肾病”（小血管病变）、“大血管病变”（大血管病变）、“糖尿病血管肾病”（肾脏血管的复杂病变）。由于肾盂肾炎在糖尿病中极为常见，因此也将其（急性和慢性）纳入分类。“糖尿病肾病”这一术语建议用于包括糖尿病血管肾病和肾盂肾炎在内的复杂病变。糖尿病微血管肾病应分为四个临床实验室阶段，并介绍了其特征。特别关注了在医疗机构中对其进行诊断的可行性。
