摘要
目的:分析电镜检查在肾小球疾病病理诊断中的价值。方法:选取2016年5月至2017年5月282例临床肾活检标本,将电镜对肾小球疾病的诊断分为决定性诊断、辅助诊断、无诊断作用3类,以评估电镜在肾小球疾病中的诊断价值。结果:电镜检查对病理诊断起决定性作用48例,占全部病例的17.02%,依赖电镜检查得以确诊;对病理诊断起参考和辅助作用159例,占56.38%;电镜对病理诊断没有帮助75例,占26.60%。结论:电镜检查在肾小球疾病病理诊断中具有重要作用。
Objective： To analyze the necessity of electron microscopy for the diagnosis of glomerulopathies.Methods： 282 cases of renal biopsy from May 2016-May 2017 with some clinical data were retrospectively reviewed. The contribution of electron microscopy to the final diagnosis was graded as necessary（ diagnosis could not be reached without it）, supportive（ it increased the level of confidence in the final diagnosis） and noncontributory（ the diagnosis didn＇t need electron microscopy）. Results： The contribution of electron microscopy to the final diagnosis was necessary in 48 cases（ 17. 02%）,supportive in 159 cases（ 56. 38%） and noncontributory in 75 cases（ 26. 60%）. Conclusion： Electron microscopy still remains an important tool in diagnosis of glomerulopathies.
作者
倪海锋
杨旻宇
弓玉祥
吕林莉
陈平圣
刘必成
NI Haifeng,YANG Minyu, GONG Yuxiang,LU Linli, CHEN Pingsheng, LIU Bicheng(Institute of Nephrology/Zhongda Hospital, Southeast University, Nanjing 210009, Chin)
出处
《现代医学》
2018年第5期477-483,共7页
Modern Medical Journal
基金
国家自然科学基金资助项目(81400700)
江苏省临床医学科技专项(BL2014080)
关键词
电镜
肾小球疾病
肾活检
病理诊断
electron microscopy
glomerular disease
renal biopsy
pathological diagnosis
