【摘要】 近年来,肾脏体积增大被认为是糖尿病肾脏并发症的早期改变之一.测定肾脏体积有助于早期发现肾脏并发症。胰岛素依赖型糖尿病(insulin-dependent diabetes mellitus,IDDM)患者在发病早期时肾脏体积增大早有报道,尚未见非胰岛素依赖型糖尿病(non-insulin-dependent diabetes mellit-us,NIDDM)患者的肾脏体积改变的研究结果。本文旨在研究NIDDM患者的肾脏体积变化情况及其影响因素。更多还原

【Abstract】 Kidney volume in 87 patients with NIDDM was measured by ultrasound scanning. The poorly controlled diabetics with HbAl>9.8% showed increased kidney volume (169.5± 24.8ml/1 .73m2) being larger than normal controls (155.6± 17.3ml/1.73m2). The kidney volume was within normal range in diabetics (152.2±19.3ml/1.73m2) with good metabolic control (HbAl<9.8%). There exists a positive correlation between kidney volume and HbA1 level (r=0.5460, n=87, P<0.01). After effective metabolic control of over 3 months, the increased kidney volume showed significant decrease with reduction of HbA1 level.更多还原