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[免疫球蛋白A肾病的肾功能及组织学表现]

[Renal function and histologic findings in immunoglobulin A nephropathy].

作者信息

Banković-Calić N, Sindjić M, Milosavljević M, Pavlović S, Velimirović D, Djukonović Lj

机构信息

Institute of Urology and Nephrology, Clinical Centre of Serbia, Belgrade.

出版信息

Srp Arh Celok Lek. 1996;124 Suppl 1:33-6.

PMID:9102923
Abstract

We investigated 28 patients with IgA nephropathy. Discriminatory analysis was the method used to determine discriminatory power of certain clinical and pathohistological parameters. Semiquantitatively were determined pathohistological parameters: glomerular index in range 0-10, vascular index 1-4, interstitial fibrosis 0-10, interstitial infiltration 0-3, tubular atrophy 0-3. Nephrotic syndrome (symbolic value), quantitative proteinuria and creatinine clearance at the time of biopsy and year after (continual variable) were used as clinical parameters. Discriminatory power was determined as a degree of decreasing Shennon's entropy by distinction of patients according to value of creatinine clearance at the time of biopsy, and a year after biopsy. Discriminatory power was measured in he information measurement units (bit). Based on discriminatory-predictive analysis we determined that glomerula changes and interstitial fibrosis had an equal effect (discriminatory power) on renal function at the time of biopsy and a year latter, as well as predictive value of these histological parameters and creatinine clearance at the time of biopsy.

摘要

我们对28例IgA肾病患者进行了研究。采用判别分析来确定某些临床和病理组织学参数的判别能力。病理组织学参数采用半定量测定:肾小球指数范围为0 - 10,血管指数为1 - 4,间质纤维化0 - 10,间质浸润0 - 3,肾小管萎缩0 - 3。肾病综合征(符号值)、活检时及活检后一年的定量蛋白尿和肌酐清除率(连续变量)用作临床参数。判别能力通过根据活检时及活检后一年的肌酐清除率值对患者进行区分来确定香农熵的降低程度。判别能力以信息测量单位(比特)衡量。基于判别预测分析,我们确定在活检时及一年后,肾小球变化和间质纤维化对肾功能具有同等作用(判别能力),以及这些组织学参数和活检时肌酐清除率的预测价值。

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