Shulutko B I
Ter Arkh. 1992;64(6):40-3.
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.
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。