Department of Pathology, Harbin Medical University, Heilongjiang, China.
Braz J Med Biol Res. 2011 Aug;44(8):810-3. doi: 10.1590/s0100-879x2011007500089. Epub 2011 Jul 15.
Most frequently reported Chinese renal biopsy data have originated from southeastern China. The present study analyzed the renal biopsy data from northeastern China. The records of 1550 consecutive native patients who were diagnosed with primary glomerular diseases (PGD) after renal biopsy at our hospital during 2005-2009 were used. These patients were divided into four age groups for stratified analysis: <15, 15-44, 45-59, and ≥60 years old. Among PGD, minimal change disease (MCD) was the most common histologically diagnosed disease (30.7%), followed by IgA nephropathy (IgAN), mesangial proliferative glomerulonephritis (MsPGN), membranous nephropathy (MN), membranoproliferative glomerulonephritis (MPGN), focal segmental glomerulosclerosis (FSGS), and endocapillary proliferative glomerulonephritis (EnPGN). MCD was the disease most frequently observed (43.7%) in the <15-year-old group. MsPGN was the most common disease in the elderly group (38.1%). MsPGN was more prevalent in females (27.8%), whereas MCD was more prevalent in males (35.3%). Primary glomerular diseases constituted the most commonly encountered group of diseases with a high prevalence of MCD, which predominantly affected males and young adults. The prevalence of MCD was high in northeastern China. Further study is necessary to expand the epidemiologic data available for renal disease in China.
大多数报道的中国肾活检数据来源于中国东南部。本研究分析了来自中国东北地区的肾活检数据。我们医院在 2005 年至 2009 年期间对 1550 例经肾活检确诊为原发性肾小球疾病(PGD)的本地患者的记录进行了分析。这些患者按年龄分为四组进行分层分析:<15 岁、15-44 岁、45-59 岁和≥60 岁。在 PGD 中,微小病变性肾病(MCD)是最常见的组织学诊断疾病(30.7%),其次是 IgA 肾病(IgAN)、系膜增生性肾小球肾炎(MsPGN)、膜性肾病(MN)、膜增生性肾小球肾炎(MPGN)、局灶节段性肾小球硬化症(FSGS)和毛细血管内增生性肾小球肾炎(EnPGN)。在<15 岁的患者中,MCD 是最常见的疾病(43.7%)。在老年组(38.1%)中最常见的疾病是 MsPGN。MsPGN 在女性中更为常见(27.8%),而 MCD 在男性中更为常见(35.3%)。原发性肾小球疾病是最常见的疾病,MCD 的患病率较高,主要影响男性和年轻成年人。在中国东北地区,MCD 的患病率较高。有必要进一步研究以扩大中国肾脏疾病的流行病学数据。