【摘要】 本文总结了近10年来我院收治的463例IgA肾病患者的资料。根据其临床体征、组织学、免疫病理学特点及治疗反应和预后将其分为反复发作性肉眼血尿(31.1％)、孤立性肉眼血尿(8.2％)、无症状性尿检异常(38.7％)、肾病综合征(9.3％)、非肾病性大量蛋白尿(5.8％)及高血压(6.9％)六型。各型的临床特征与组织学、免疫病理学改变、治疗反应及预后间有密切关系,并有助于临床治疗。本文还就分型的依据及临床意义进行了讨论。更多还原

【Abstract】 Basing on the clinical criteria,463 cases of primary IgAN were divided into 6 groups: recurrent gross hematuria (31.1%), isolated hematuria (8.2%) , asymptomatic urinary abnormality (38.7%) , nephroic symdrome (9.3%) ,non-nephrotic massive proteinuria (5.8%) and hypertension (6.9%). The correlation of clinical manifestation, renal histology, immunopathology, response to the treatment and prognosis of the patients in each category were thoroughly studied. The unique feature of patients in each group was delineated. It was considered that this new classification could be helpful for the clinical management of IgA nephro-pathy.更多还原