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糖尿病肾病的诊断与鉴别诊断——肾活检在糖尿病肾病诊断中的应用

程璐 付平

中国实用内科杂志2017,Vol.37Issue(3):192-194,3.
中国实用内科杂志2017,Vol.37Issue(3):192-194,3.DOI:10.19538/j.nk2017030103

糖尿病肾病的诊断与鉴别诊断——肾活检在糖尿病肾病诊断中的应用

Diagnosis and differential diagnosis of diabetic kidney disease: renal biopsy in diagnosis of diabetic kidney disease

程璐 1付平1

作者信息

  • 1. 四川大学华西医院肾脏内科,四川成都610041
  • 折叠

摘要

Abstract

Diabetes mellitus has become the leading cause of chronic kidney disease in China.The research increasingly shows that macroalbuminuria/proteinuria and diabetic retinopathy are not sensitive markers for diabetic kidney disease.However,the pathology of diabetes mellitus with renal injury is complicated.On the basis of appropriately identify the biopsy contra-indications and broaden the biopsy indications for diabetic kidney disease.Renal biopsy is the golden standard and very important method to reduce the misdiagnosis.Therefore,a more extensive use of biopsy is advisable.

关键词

肾活检/糖尿病肾病/糖尿病合并非糖尿病肾病/尿蛋白/糖尿病视网膜病变

Key words

renal biopsy/diabetic kidney disease/none diabetic kidney disease/proteinuria/diabetic retinopathy

分类

医药卫生

引用本文复制引用

程璐,付平..糖尿病肾病的诊断与鉴别诊断——肾活检在糖尿病肾病诊断中的应用[J].中国实用内科杂志,2017,37(3):192-194,3.

基金项目

十三五国家重点研发计划重大慢性非传染性疾病防控研究(2016YFC1305403) (2016YFC1305403)

中国实用内科杂志

OACSCDCSTPCD

1005-2194

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