老年患者的肾穿刺活检：附119例报告

[Renal puncture biopsy in the aged subject: apropos of 119 cases].

作者信息

Mbakop A, Chatelanat F

出版信息

Ann Pathol. 1985;5(2):101-5.

Abstract

We reviewed 119 renal biopsies performed between 1964 and 1982 on adults aged 60 or more. The two main indications wer: renal failure (35/119) and nephrotic syndrome (35/119). Histology showed: primary glomerular diseases (76/119), systemic diseases with renal involvement (31/119), arteriosclerosis only (5/19), tubulo-interstitial nephritis only (5/119). No obvious lesion was seen in 2 cases. Additional arteriosclerosis was observed in 21 cases and additional tubulo-interstitial nephritis in 6 cases. Primary glomerular diseases consisted mainly in diffuse membranous glomerulonephritis (18/76). Systemic Lupus Erythematosus (7/31) and amyloidosis (6/31) represented most of the systemic diseases with renal involvement. The usefulness of renal biopsy in diagnosis, treatment and prognosis of a wide variety of renal diseases in elderly adults is demonstrated.

摘要

我们回顾了1964年至1982年间对60岁及以上成年人进行的119例肾活检。两个主要指征是：肾衰竭（35/119）和肾病综合征（35/119）。组织学显示：原发性肾小球疾病（76/119）、累及肾脏的全身性疾病（31/119）、仅动脉硬化（5/19）、仅肾小管间质性肾炎（5/119）。2例未见明显病变。21例观察到合并动脉硬化，6例观察到合并肾小管间质性肾炎。原发性肾小球疾病主要为弥漫性膜性肾小球肾炎（18/76）。系统性红斑狼疮（7/31）和淀粉样变性（6/31）是累及肾脏的大多数全身性疾病。肾活检在老年成年人各种肾脏疾病的诊断、治疗和预后方面的实用性得到了证实。