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[慢性肾小球肾炎的形态学-临床变异型及其对疾病严重程度评估的意义]

[Morpho-clinical variants of chronic glomerulonephritis and their significance for the evaluation of the severity of the disease].

作者信息

Ratner M Ia, Gel'fand I M, Varshavskiĭ V A, Rozenfel'd B I, Brodskiĭ M A

出版信息

Arkh Patol. 1984;46(11):46-52.

PMID:6525063
Abstract

The study of the morphological, clinical and functional manifestations of compensated chronic glomerulonephritis (CGN) in 317 patients revealed the advantage of the morphoclinical variants as compared to the morphological types for the evaluation of the gravity and prognosis of the disease. The morphoclinical variant means the combination of the morphological and clinical types. It was found that the morphoclinical variants of CGN determine the probability of the tubulointerstitial component, which deteriorates the prognosis of the disease more precisely than its morphological types. Renal dysfunction is more closely connected with the morphoclinal variant of CGN than with the morphological type. The data obtained are in favour of developing a morphoclinical classification of CGN on the basis of the morphoclinical variants of the disease.

摘要

对317例代偿性慢性肾小球肾炎(CGN)患者的形态学、临床和功能表现进行研究后发现,与形态学类型相比,形态临床变体在评估疾病的严重程度和预后方面具有优势。形态临床变体是指形态学类型与临床类型的组合。研究发现,CGN的形态临床变体决定了肾小管间质成分出现的可能性,与形态学类型相比,它能更准确地反映疾病预后的恶化情况。肾功能障碍与CGN的形态临床变体的关联比与形态学类型的关联更为密切。所得数据支持基于该疾病的形态临床变体制定CGN的形态临床分类。

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