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肾活检中肾小球疾病的谱:来自阿曼一个单一三级中心的数据。

The spectrum of glomerular diseases on renal biopsy: data from a single tertiary center in oman.

作者信息

Al Riyami Dawood

机构信息

Sultan Qaboos University Hospital, Muscat, Al-Khoud, Sultanate of Oman.

出版信息

Oman Med J. 2013 May;28(3):213-5. doi: 10.5001/omj.2013.58.

Abstract

OBJECTIVE

To study the pattern of glomerular disease (GD) from the result of renal biopsies at our center.

METHODS

We conducted a retrospective review of 190 adult native renal biopsy reports from the pathology registry of renal biopsy performed at our hospital between 1992 and 2010.

RESULTS

Lupus nephritis was the most common pathology 48/133 (36.1%) with a female preponderance. The most common primary glomerular disease was focal segmental glomerulosclerosis (FSGS) 26/133(19.5%), followed by membranous glemerulopathy (MGN) 13/133 (9.8%), and mesangial proliferative glomerulonephritis 6/133 (4.5%). IgA nephropathy and acute proliferative glomerulonephritis each accounted for 4/133 (3.0%). Membranoproliferative glomerulonephritis accounted for 3/133 (2.3%). Focal proliferative and cresentic glomerulonephritis each accounted for 2/133 (1.5%). Vasculitis was not common and there was no report of anti-GBM disease.

CONCLUSION

Among the secondary glomerular diseases, lupus nephritis was the commonest condition with a female preponderance. Among the primary glomerular diseases, FSGS was the commonest. These results are consistent with global trend. IgA nephropathy is not common as the case in the Caucasian population. Vasculitis was not common and there was no report of anti-GBM disease.

摘要

目的

通过我院中心肾活检结果研究肾小球疾病(GD)的模式。

方法

我们对1992年至2010年间在我院进行的190例成人原发性肾活检报告进行了回顾性分析,这些报告来自肾活检病理登记处。

结果

狼疮性肾炎是最常见的病理类型,48/133例(36.1%),女性居多。最常见的原发性肾小球疾病是局灶节段性肾小球硬化(FSGS),26/133例(19.5%),其次是膜性肾小球病(MGN),13/133例(9.8%),系膜增生性肾小球肾炎6/133例(4.5%)。IgA肾病和急性增生性肾小球肾炎各占4/133例(3.0%)。膜增生性肾小球肾炎占3/133例(2.3%)。局灶增生性和新月体性肾小球肾炎各占2/133例(1.5%)。血管炎并不常见,且无抗肾小球基底膜病的报告。

结论

在继发性肾小球疾病中,狼疮性肾炎是最常见的疾病,女性居多。在原发性肾小球疾病中,FSGS是最常见的。这些结果与全球趋势一致。IgA肾病不像白种人群那样常见。血管炎并不常见,且无抗肾小球基底膜病的报告。

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