Wehner H, Oswald A
Klin Wochenschr. 1978 Dec 1;56(23):1155-61. doi: 10.1007/BF01476859.
Minimal changes in the glomerular structure and definitively provable only by the aid of morphometric methods. This is of value especially for the minimal proliferative intercapillary glomerulonephritis with and without nephrotic syndrome where, because of the different clinical symptomatology, changes in the morphology may be expected too which however, usually are not recognizable with the methods of light-microscopy. That is why morphometric analyses of kidney tissues of ever ten patients of both groups of the disease were made and the results compared with each after and against normal kidneys. It could be shown that the minimal proliferative intercapillary glomerulonephritis with nephrotic syndrome (minimal changes, lipoid-nephrosis) is accompanied by an increase of local cells, especially the mesangial cells, just as the same disease without nephrotic syndrome. Besides that there exists a clear increase of the mesangiummatrix in the minimal proliferative intercapillary glomerulonephritis without nephrotic syndrome. Because of the morphometric findings it is justified to make a demarcation of both groups of the disease as well as against the mesangioproliferative glomerulonephritis.
肾小球结构仅有微小变化,且只有借助形态测量学方法才能确切证实。这一点尤其对于伴有和不伴有肾病综合征的微小增殖性毛细血管间肾小球肾炎具有重要意义,因为在这些疾病中,由于临床症状不同,形态学变化也可能出现,然而通常通过光学显微镜方法无法识别这些变化。正因如此,对该疾病两组中每组的十例患者的肾脏组织进行了形态测量分析,并将结果相互比较,同时与正常肾脏进行对比。结果表明,伴有肾病综合征的微小增殖性毛细血管间肾小球肾炎(微小病变,脂性肾病)与不伴有肾病综合征的同一种疾病一样,都伴随着局部细胞的增加,尤其是系膜细胞的增加。除此之外,在不伴有肾病综合征的微小增殖性毛细血管间肾小球肾炎中,系膜基质明显增加。基于形态测量学结果,对该疾病的两组以及与系膜增生性肾小球肾炎进行区分是合理的。