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移植肾发生肾小球肾炎大体上可分为①移植前肾小球肾炎复发;②与排异反应有关的肾小球肾炎;③与抗淋巴细胞血清(或球蛋白)有关的肾小球病变三种。第一种,肾小球肾炎的再发生已有很多的报道。Glassock等报告一卵双生儿25例肾移植中,原病为肾小球肾炎的19例有11例出现同样的肾小球肾炎再发。就再发生的肾小球肾炎的类型来看,目前已知者有抗肾小球基底膜(GBM)型肾炎、IgA~IgG型肾病、紫瘢性肾炎、膜性增殖型肾小球肾炎及肾小球微小变化型肾病综合征等。这些类型之中,如为免疫复合体型肾炎,若移植前后的免疫复合体不相同,则非真正的再发,但是由于其临床病理表现很相似,目前姑且
Graft nephropathy glomerulonephritis can be broadly divided into ① recurrence of glomerulonephritis before transplantation; ② rejection associated with glomerulonephritis; ③ anti-lymphocyte serum (or globulin) -related glomerular lesions Three kinds. The first, there are many reports of reoccurrence of glomerulonephritis. Glassock and other reports of a twins 25 cases of kidney transplantation, the original disease was 19 cases of glomerulonephritis in 11 cases of recurrence of the same glomerulonephritis. With regard to the type of re-occurring glomerulonephritis, currently known are anti-glomerular basement membrane (GBM) nephritis, IgA-IgG nephropathy, purple sclerosis nephritis, membranous proliferative glomerulonephritis and Small changes in glomerular nephrotic syndrome and so on. Among these types, such as immune complex nephritis, if the immune complex before and after transplantation is not the same, then the real recurrence, but because of its clinical and pathological findings are similar, the current tentative