近5年收治的原发性肾小球疾病中,膜性肾病10例,占9.2%,血清HBV 检查物阳性,C_3、CH_(50)明显降低,肾活检:有免疫复合物沉积,肾小球毛细血管基底膜弥漫不规则增厚,呈链状改变,大块电子致密物在不同部位沉积.符合乙型肝炎相关性肾炎的病理学改变.予以类固醇激素及细胞毒性药物的诱导均达完全缓解.随访1～5年无复发. Among the primary glomerular diseases admitted in the past 5 years, 10 cases of membranous nephropathy accounted for 9.2%, serum HBV test was positive, C_3 and CH_ (50) were significantly reduced, and renal biopsy showed the deposition of immune complex and kidney Ball capillary basement membrane diffuse irregular thickening, showing a chain change, large pieces of electronic dense deposits in different parts of the pathological changes in line with hepatitis B-related nephritis.Group steroid hormones and cytotoxic drugs were up to complete Relief. Follow-up 1 to 5 years without recurrence.