狼疮性肾小球肾炎的病理分类进展.pdfVIP

254 20 11 1 17 2M ed ica R ecap itu ate, Jan 20 11, V o . 17, N o. 2 王红蕾 ( ) , 戴 勇 ( ) ( ( ) , 5 18020) : R593. 24 : A : ( 20 11) : 为了介绍 2003 年国际肾脏学协会( ISN ) 和肾脏病理学协会( R PS) 关于狼疮性肾小球肾炎 , 的病理分类, 简要地回顾狼疮肾炎( LN ) 的 床和多种病理特征2003 年 ISN /R PS 制订的 LN 病理 学分类与过去相比有较大不同, 主要去除了型的亚型, 不再将完全正常的肾脏列入型外, 更加明 确和细化了各分型的界定, 并依据肾小球病变是节段性或球性对型 LN 进行再分类, 这次分类使观 LN , 察者之间的重复性大大提高 ISN /RP S关于狼疮性肾小球肾炎的分类已获得广泛的接受, 达到了病 理变化和 床特征相关联的目标, 对诊断治疗和预后有重要意义 , : 系统性红斑狼疮; 狼疮肾炎; 分类; 病理 P rogress of Pa thology C lassification of Lupus Glom erulonephritis WANG H onglei, DAI Yong. (The Center of ClinicResearch, theSecond ClinicalM edicalCollege of Jinan niversity, Shenzhen Peop lesH ospital, , ISN RPS Shenzhen 5 18020, China) ( 2) Abstract: T h is artic e is to in troduce the 2003 Internationa A ssociat ion of N eph ro ogy ( ISN ) and rena patho ogy Society( R PS ) patho ogica c assif icat ion of upu s g om eru oneph rit is. A brief review of th e c in ica 2003 ISN /RPS and a variety of patho ogica features of upus neph rit is( LN ). T h e ISN / RP S2003 c assif icat ion of upu s g o m eru oneph ritis inc ud es mu t ip e changes compared w ith its pred ecessors, m ain y rem ova of the sub c asses of upu s g om eru onephrit is type , no onger be com p ete y norm a k idney inc uded in the type , more ex , p icit and detai ed the various subtypes defin ition. C ass LN w as fu rther subd ivided w ith predom in ant y g om eru oneph ritis segm enta esion. T h is c ass ification w i faci itate a h igher degree of reprodu cib i ity. ISN / ( upus g