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[当今原发性肾小球肾炎不同类型的相关性及其诊断标准(肾内科工作经验及 3000 例临床形态学分析)]

[The correlation of different forms of primary glomerulonephritis today and their diagnostic criteria (the work experience of a nephrology department and a clinico-morphological analysis of 3000 cases)].

作者信息

Shulutko B I

出版信息

Ter Arkh. 1992;64(6):40-3.

PMID:1440335
Abstract

The author reviews the structure of nephropathies on the basis of an analysis of the clinicomorphological data obtained during the follow-up of 3000 patients examined at the nephrological center. In a group of primary glomerulonephritis, the mesangioproliferative form occurred most frequently (68%), the membranoproliferative form was encountered in 27.2% of cases, and the membranous form in 1.8%. Over the recent years not a single case of acute glomerulonephritis has been observed. Analysis of the diagnostic criteria allowed the antibody variety only to be regarded as an independent pattern of rapid-progressing glomerulonephritis. Equally to the manifestations of glomerulonephritis proper, mesangial proliferation should be also viewed as a possible nonspecific response to the other pathological processes. Focal glomerulosclerosis as a disease entity is to be excluded from the nomenclature of glomerulonephritis.

摘要

作者基于对在肾病中心接受检查的3000例患者随访期间获得的临床形态学数据的分析,回顾了肾病的结构。在原发性肾小球肾炎组中,系膜增生性形式最为常见(68%),膜增生性形式见于27.2%的病例,膜性形式见于1.8%。近年来未观察到一例急性肾小球肾炎病例。对诊断标准的分析表明,仅抗体类型可被视为快速进展性肾小球肾炎的一种独立模式。与肾小球肾炎本身的表现一样,系膜增生也应被视为对其他病理过程的一种可能的非特异性反应。局灶性肾小球硬化作为一种疾病实体应从肾小球肾炎的命名中排除。

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Ter Arkh. 1992;64(6):40-3.
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SPECTRUM OF NEPHROPATHIES WITH SPECIAL REFERENCE TO PRIMARY GLOMERULOPATHIES.肾病谱,特别涉及原发性肾小球疾病
Med J Armed Forces India. 2000 Apr;56(2):125-129. doi: 10.1016/S0377-1237(17)30127-2. Epub 2017 Jun 10.