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膜增殖性肾小球肾炎的超微结构在病理学分型、诊断和鉴别诊断中的意义 被引量:1

Significance of infrastructure of Membranoproliferative Glomerulonephritis in Pathological and Differential Diagnosis
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摘要 本文对65例肾活检中的9例膜增殖性肾小球肾炎(MPGN)超微结构进行了分析,其特点为MPGN-Ⅰ型以内皮下电子致密沉积物为主,MPGN-Ⅱ型以基底膜致密层电子致密沉积物为主,同时在两型中伴有肾小球基底膜不规则增厚,系膜细胞、基质的增多并插入基底膜和内皮细胞之间。结果表明,膜增殖性肾小球肾炎的超微结构在病理学分型、诊断和鉴别诊断中具有重要意义。 9 cases of membranoproliferative glomerulonephritis (MPGN) of 65 renal biopsy specimens were analysed by electron microscopy.It was found ultras-tructurally that MPGN-Ⅰ type is characterized mainly by electron-dense deposits in subendothelial locations while MPGN-Ⅱ type by electron-dense deposits in densa lamina of GBM.Moreover,these two types are usually associated with the thickening of GBM,increase of mesangical cells and matrix,extension and interposition of mesangium between the basement membranes and endothelial cells.The above results demonstrate that the ultrastructure of MPGN is of important significance in pathological and differential diagnosis.
出处 《同济医科大学学报》 CSCD 北大核心 1990年第2期92-94,142,共3页 Acta Universitatis Medicinae Tongji
关键词 肾小球肾炎 超微结构 病理 诊断 ultrastructure membranoproliferative glomerulonephritis
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参考文献3

  • 1陈惠萍,黎磊石,张景红,张泰和,李可琛.307例原发性肾小球肾炎的临床与病理[J]江苏医药,1986(04).
  • 2李南云,张泰和.膜增殖性肾小球肾炎Ⅲ型(混合型)(附6例病理形态观察)[J]江苏医药,1986(04).
  • 3D. Anders,B. Agricola,M. Sippel,Prof. Dr. W. Thoenes. Basement membrane changes in membranoproliferative glomerulonephritis[J] 1977,Virchows Archiv A Pathological Anatomy and Histology(1):1~19

同被引文献6

  • 1Cameron S, Davision AM, Gunfeld JP, et al. Oxford textbook of clinical nephrology. Second edition. ( 1 ) Oxford University Press, 1997,591
  • 2Cameren JS, Turner DR, Juliet Heaton,et al. Idiopathic mesangiocapillary glomerulonephritis Comntparision of type Ⅰ and type Ⅱ in children and adults and long-term progrosis. Am J Med, 1983,74:175
  • 3Albert CO. Loss of glomerular function and tubulointerstitial fibrosis: cause or effect? Kidney Int, 1994,45: 345
  • 4Glassock RJ. Membranoproliferative glomerulonephritis. In Ponticelli C,Glassock RJ ed: Treatment of Primary Glomerulonephritis, London: Oxford University Press, 1999,218
  • 5Brenner BM. Primary glomerular disease. The Kidney. 6th edition.Volume 2. 中国北京: 科学出版社 ,2001,1292
  • 6陈惠萍,黎磊石.Ⅰ型和Ⅲ型膜增殖性肾炎的临床,病理及预后[J].中华内科杂志,1992,31(5):293-296. 被引量:2

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