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[糖尿病的肾活检结果]

[Renal biopsy findings in diabetes mellitus].

作者信息

Kharrat Mahmoud, Kammoun Khawala, Charfeddine Khaled, Yaich Soumaya, Zaghdene Saoussen, Chaker Hanene, Jarraya Faiçal, Ben Hmida Mohamed, Jlidi Rachid, Hachicha Jamil

机构信息

Service de néphrologie, CHU H. Chaker, Sfax.

出版信息

Tunis Med. 2007 Mar;85(3):216-9.

Abstract

BACKGROUND

The prevalence of diabetic patients with endstage renal disease is increased overall the word. Renal biopsy is sometimes necessary to precise the type of renal damage.

AIM

To precise the type and the frequency of non diabetic nephropathy in diabetic patients.

METHODS

We enrolled retrospectively during 17 years, 72 diabetic patients who had a renal biopsy.

RESULTS

A non diabetic nephropathy was found in 69.5 % of them. Its presence was correlate to the presence of hematuria and the absence of diabetic retinopathy. We can successfully treated nine patients with minimal-change nephrotic syndrome and one patient with crescentic glomerulonephritis.

CONCLUSION

Renal biopsy must be done in diabetic patient with hematuria or in the absence of diabetic retinopathy.

摘要

背景

糖尿病终末期肾病患者的患病率在全球范围内总体呈上升趋势。有时需要进行肾活检以明确肾损伤的类型。

目的

明确糖尿病患者中非糖尿病性肾病的类型和发生率。

方法

我们回顾性纳入了17年间接受肾活检的72例糖尿病患者。

结果

其中69.5%的患者存在非糖尿病性肾病。其存在与血尿的存在以及糖尿病视网膜病变的缺失相关。我们成功治疗了9例微小病变型肾病综合征患者和1例新月体性肾小球肾炎患者。

结论

有血尿或无糖尿病视网膜病变的糖尿病患者必须进行肾活检。

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