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肾脏疾病的病理学诊断,已构成了临床诊断、治疗及预后判断的重要依据。1982年和1985年世界卫生组织(WHO)曾分别公布了肾小球疾病分类及肾小管间质疾病的分类方案,受到了国内普遍的采用。笔者拟站在病理医师的角度上,介绍肾脏疾病病理学分类应用中一些供临床、病理医师借鉴的问题。 1 肾小球疾病病理学分类应用的有关问题 目前国际与国内比较通用的肾小球疾病病理分类,具有两个重要特点:一是属于光镜、免疫病理学及电镜观察的综合分类;二是兼顾了临床表现及其检验结果。这些特点决定了肾小球疾病的正确分类,依赖于病理科与临床各科的密切协作。
Pathological diagnosis of kidney disease, has formed an important basis for clinical diagnosis, treatment and prognosis. 1982 and 1985, the World Health Organization (WHO) have announced the classification of glomerular disease and tubulointerstitial disease classification scheme, has been generally adopted in China. The author intends to stand on the pathologist’s point of view, introduce the classification of renal disease pathology for clinical, pathologists draw on the issue. 1 glomerular disease pathological classification of the application of the current international and domestic common pathological classification of glomerular disease, has two important characteristics: First, belong to light microscopy, immunopathology and electron microscopy of a comprehensive classification; the second is Taking into account the clinical manifestations and test results. These characteristics determine the correct classification of glomerular diseases, relying on the close collaboration of pathology and clinical departments.