原发性膜性肾病的预后文献报告不一。Davison报告52%的患者在活检确诊后的几年(平均32月)内肾功能恶化。Noel 却认为其10年累积存活率可达79%。作者对67例原发性膜性肾病进行了临床分析。1966～1984年间,作者收治96例膜性肾病。其中11例为系统性红斑狼疮,7例为金治疗引起;3例系青霉胺所致,1例结节病;4例患有风湿性关节炎;1例伴慢性淋巴细胞性白血病;2例同时存在抗基膜 The prognosis of primary membranous nephropathy literature reported different. Davison reported worsening renal function in 52% of patients within a few years after the biopsy was diagnosed (mean, 32 months). Noel thinks its 10-year cumulative survival rate can reach 79%. The author of 67 cases of primary membranous nephropathy clinical analysis. Between 1966 and 1984, the authors treated 96 cases of membranous nephropathy. Of these, 11 were systemic lupus erythematosus and 7 were caused by gold therapy; 3 were penicillamine-induced, 1 was sarcoidosis; 4 were rheumatoid arthritis; 1 was associated with chronic lymphocytic leukemia; 2 Cases exist at the same time anti-basement membrane