反流性肾病的研究进展

Yunchuan Tian, Jiang Xiao, Yonglian Tang, Rongkun Li, Qingyang Zhu
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摘要

反流性肾病(RN)是一种由膀胱输尿管反流(VUR)和肾内反流(IRR)引起的肾脏疾病,导致肾皮质瘢痕(局部萎缩)和局灶性肾小球硬化。RN是终末期肾脏疾病(ESRD)的重要病因之一。肾脏瘢痕形成是肾炎最基本的病理特征。常见临床表现为持续性或反复性尿路感染、蛋白尿、高血压、夜尿、多尿、腰痛、尿路结石等。由于RN的隐蔽性,各科室尤其是儿科、肾病科、泌尿科的医生必须加强对本病的认识和认识,便于本病的早期发现和诊断。正确的西医保守治疗,必要时进行手术治疗,合理的中西医结合治疗,对预防和治疗RN向ESRD进展具有重要意义。
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Progress in the Research of Reflux Nephropathy
Reflux nephropathy (RN) is a renal disease caused by Vesicoureteral Reflux (VUR) and Intrarenal Reflux (IRR), resulting in renal cortical scar (localized atrophy) and focal glomerulosclerosis. RN is one of the important causes of end-stage renal diseases (ESRD). The most basic pathological feature of RN is kidney scarring. Common clinical manifestations are persistent or recurrent urinary tract infection, albuminuria, hypertension, nocturia, polyuria, lumbago, urinary calculi, etc. Due to the hidden condition of RN, doctors in various departments, especially in pediatrics, nephrology and urology, must strengthen their understanding and understanding of this disease, so as to facilitate the early detection and diagnosis of this disease. Correct conservative treatment of Western medicine, surgical treatment when necessary, and reasonable integrated treatment of Chinese and Western medicine are of great significance for the prevention and treatment of the progression from RN to ESRD.
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