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[直接荧光显微镜检查在肾小球肾炎诊断中的应用]

[Direct fluorescence microscopy in the diagnosis of glomerulonephritis].

作者信息

Cengić Midhat, Heljić Bećir, Rasić Senija, Dilić Mirza

机构信息

Institut za nefrologiju, Klinicki centar Sarajevo.

出版信息

Med Arh. 2002;56(2):65-70.

Abstract

The use of the method of direct immunofluorescence (DIF) in the examination of the renal biopsy tissue, differentiation of various forms of glomerulonephritis, identification of immunopathogenetic mechanisms of the disease and mediators of immune reaction, are presented. In the study are described the characteristics findings of DIF in differentiation of morphologic groups of glomerulonephritis, made after light microscopy (LM). Here are presented the type and localisation of immune deposits within the kidney tissue (glomerules, blood vessels, tubules and interstitium). It was performed 52 renal biopsies in the period between 1997 and 2001 year, at the Institute of Nephrology in Sarajevo, than divided after DIF and LM in 11 different groups, with dominant membranous glomerulopathy (11 cases), diffuse mesangioproliferative with IgA nephropathy (9 cases) and minimal change glomerulonephritis (9 cases), between them. It was described the method of renal biopsy, the preservation and preparation of biopsy spacemen, and the act of fluorescence microscopy.

摘要

介绍了直接免疫荧光法(DIF)在肾活检组织检查中的应用、各种形式肾小球肾炎的鉴别、疾病免疫发病机制及免疫反应介质的鉴定。在该研究中描述了在光镜(LM)检查后DIF在肾小球肾炎形态学分组鉴别中的特征性发现。这里展示了肾组织(肾小球、血管、肾小管和间质)内免疫沉积物的类型和定位。1997年至2001年期间,在萨拉热窝肾病研究所进行了52例肾活检,根据DIF和LM分为11个不同组,其中以膜性肾小球病为主(11例)、弥漫性系膜增生伴IgA肾病(9例)和微小病变性肾小球肾炎(9例)。描述了肾活检方法、活检标本的保存和制备以及荧光显微镜检查操作。

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