论文部分内容阅读
目的:分析老年肾脏疾病的临床表现及病理特点。方法:收集第三军医大学附属西南医院1998年6月～2008年5月收治的肾脏病并行肾活检的患者资料,按照年龄分为老年组及非老年组,比较两组临床表现及病理特点。结果:老年组膜性肾病及新月体性肾炎检出率显著高于非老年组,而IgA肾病检出率显著低于非老年组;两组继发性肾脏疾病病理类型有显著区别;老年组糖尿病肾病显著高于非老年组,非老年组狼疮性肾炎、乙肝病毒性肾炎的检出率显著高于老年组。结论:老年肾脏病病因以原发性肾脏疾病最多见,对病因不明肾病患者,应及早行肾脏病理活检,有助于明确诊断及治疗。
Objective: To analyze the clinical manifestations and pathological features of elderly kidney disease. Methods: Data of patients with renal disease and renal biopsy admitted to the Southwest Hospital Affiliated to Third Military Medical University from June 1998 to May 2008 were collected and divided into the elderly group and the non-elderly group according to their age. The clinical manifestations and pathological features were compared between the two groups. Results: The detection rate of membranous nephropathy and crescentic nephritis in the elderly group was significantly higher than that in the non-elderly group, while the detection rate of IgA nephropathy was significantly lower than that in the non-elderly group. The pathological types of secondary renal disease in the two groups were significantly different. Group diabetic nephropathy was significantly higher than non-elderly group, non-elderly group lupus nephritis, hepatitis B virus nephritis detection rate was significantly higher than the elderly group. Conclusions: The etiology of senile kidney disease is the most common in primary kidney disease. Nephrotic biopsy should be performed as soon as possible for patients with unknown etiologic nephropathy, which helps to confirm the diagnosis and treatment.