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时间:2019-10-18
《临床医学论文-IgA肾病与过敏性紫癜性肾炎的临床和病理对比分析》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、ffU!临床医学论文・IgA肾病与过敏性紫瘢性肾炎的临床和病理对比分析作者:周长华蔡林祥朱月文居建析徐宏【摘要】目的对比研究有新川体形成(<50%)的IgAN肾病(IgAN)和过敏性紫瘢性肾炎(HSPN)在临床及肾脏病理改变上的异同,探讨两者的关系。方法对经肾活检证实的病理上有<50%新月体形成的25例IgAN及23例HSPN成人(>18岁)进行临床及病理对比分析。结果IgAN和HSPN临床表现和似,高血压、血尿、蛋门尿、尿NAG酶升高等发生率差异均无显着性(P>0・05);IgAN肾功能损害程度
2、较重,两者的血肌酊水平差异有显着性(P<0・05);IgAN和HSPN脏的组织病理检查,节段新月体形成率和球囊粘连、内皮增生、节段硬化等发生率差异均无显着性(P>0.05),而祥坏死、球性皱化、肾间质纤维化、肾小管萎缩发生率差异均有显着性(PvO.05);两组免疫病理均以IgA在系膜区沉积为主(伴或不伴血管祥的沉积),沉积差异无显着性(P>0.05)。结论IgAN与HSPN两者在高血压、血尿、蛋口尿发生率等临床表现差异无显着性,但IgAN肾功能减退明显,肾组织发生球性硕化、间质纤维化、小管萎缩等慢
3、性化病变较重。【关键词】IgA肾病过敏性紫瘢性肾炎新月体临床和病理【Abstract]ObjectiveTocomparetheclinicalandpathologicalcharactersisticsinpatientswithcrescentic(<50%)IgAnephropathy(IgAN)andHenoch-Schonleinpurpuranephritis(HSPN).Thepresentstudyaimedtocharacterizetheirrelationshipthrou
4、ghclinicopathologicalcomparisonbetweenIgANandHSPN.Methods25adultwithIgANand23adultwithHSPNinthisstudy.Theirclinicalmanifestations,bloodbiochemicaltest,renalpathologicalfindingsinlightmicroscopyandimmunofluorescencewereanalyzedandalsocomparedbetween25I
5、gANand23HSPN・ResultTheclinicalpatternsofIgANandHSPNweresimilar.Hypertension/hematuria(severeandmirror)/proteinuriaandurineNAGenzymaticarisingwerenotsignificant(P>0・05)・ButinIgAN,renalfunctionwasdamagedbadlyandtheserumcreatininewassignificantlyhigherth
6、anthatinHSPN(P<0・05)・Pathologicalexamination,suchassegmentalcrescents/glomcruli・Bowman'scapsuleadhesion/endothelialproliferationandsegmentsclerosiswerefoundsimilarlyinIgANandHSPNpatients(P>0.05).Whiletheglobalsclerosis/renalinterstitialfibrosisandtubu
7、laratrophyweremarkedlyhigherinIgANthanthatinHSPNpatients(P<0.05).Capi1larynecrosiswas1owerinIgANthaninHSPNpaticnts(P<0.05)・Al1thecasesinbothgroupshadIgAdepositioninglomerulus・Nosignificantdifferencewasfoundthedepositionsof,IgG,IgM・C3,C4andClqonglomeru
8、lusbetweentwogroups(P>0・05)・ConclusionsTheclinicalpatternsofIgAnephropathyandHSPNweresimilar.Whilethepathologicalchangessuchasrenaldysfunction,globalsclerosis,renalinterstitiumfibrosisandtubularatrophyweremarkedlyseriousinIgANthanthoseinHSPNpa
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