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肾小球毛细血管面积的形态计量分析——微小病变型肾病综合征、局灶节段性肾小球硬化症和子痫前期的比较

Morphometric analysis of the glomerular capillary area--a comparison of minimal change nephrotic syndrome, focal glomerular sclerosis, and pre-eclampsia.

作者信息

Ishitobi F, Sagiya A, Ueda Y, Oka K, Kanaya H, Iidaka K

机构信息

Department of Pathology, Dokkyo University School of Medicine, Tochigi, Japan.

出版信息

J Pathol. 1991 Dec;165(4):329-36. doi: 10.1002/path.1711650409.

DOI:10.1002/path.1711650409
PMID:1783951
Abstract

A morphometric analysis was performed to compare the capillary area in non-sclerotic glomeruli in focal glomerular sclerosis (FGS), pre-eclampsia with focal sclerotic change of the glomeruli, and minimal change nephrotic syndrome (MCNS). The mean and standard deviation of the capillary area was greater in FGS than in pre-eclampsia and MCNS. Tubulo-interstitial lesions, such as tubular atrophy, interstitial fibrosis, and lymphocytic infiltration, were more severe in FGS than in pre-eclampsia. The presence of tubulo-interstitial changes including tubular atrophy and interstitial fibrosis with lymphocytic infiltration is thought to be an important prognostic factor in pre-eclampsia as well as in FGS. Unequal dilatation of the glomerular capillaries in non-sclerotic glomeruli may be harmful to the glomeruli and may lead to the development of glomerular sclerosis.

摘要

进行了形态计量分析,以比较局灶性肾小球硬化(FGS)、伴有肾小球局灶性硬化改变的先兆子痫和微小病变肾病综合征(MCNS)中非硬化性肾小球的毛细血管面积。FGS中毛细血管面积的平均值和标准差高于先兆子痫和MCNS。FGS中的肾小管间质病变,如肾小管萎缩、间质纤维化和淋巴细胞浸润,比先兆子痫更严重。包括肾小管萎缩、间质纤维化伴淋巴细胞浸润在内的肾小管间质变化的存在,被认为是先兆子痫和FGS中一个重要的预后因素。非硬化性肾小球中肾小球毛细血管的不等扩张可能对肾小球有害,并可能导致肾小球硬化的发展。

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Morphometric analysis of the glomerular capillary area--a comparison of minimal change nephrotic syndrome, focal glomerular sclerosis, and pre-eclampsia.肾小球毛细血管面积的形态计量分析——微小病变型肾病综合征、局灶节段性肾小球硬化症和子痫前期的比较
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[Minimal change disease and focal segmental glomerulosclerosis in children--histomorphometric comparative study with application to computer image analysis].[儿童微小病变性肾病和局灶节段性肾小球硬化——应用计算机图像分析的组织形态计量学比较研究]
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Human glomerular growth during childhood: a morphometric study.儿童期人类肾小球的生长:一项形态计量学研究。
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