ELECTRON MICROSCOPIC OBSERVATION IN GAPS OF THE GLOMERULAR CAPILLARY BASEMENT MEMBRANE IN RENAL DISEASES. [J]. Journal of Chongqing Medical University (2):93-96(1987)
ELECTRON MICROSCOPIC OBSERVATION IN GAPS OF THE GLOMERULAR CAPILLARY BASEMENT MEMBRANE IN RENAL DISEASES. [J]. Journal of Chongqing Medical University (2):93-96(1987) DOI: 10.13406/j.cnki.cyxb.1987.02.008.
ELECTRON MICROSCOPIC OBSERVATION IN GAPS OF THE GLOMERULAR CAPILLARY BASEMENT MEMBRANE IN RENAL DISEASES
摘要
本文报告在44例不同种类肾小球疾病肾穿刺标本的电镜观察
其中8例发现肾小球毛细血管基底膜缺损。按照Stejskal的分类法
可将缺损的超微结构改变分为4种类型。I型;足细胞和内皮细胞坏死
基底膜分层、破坏。Ⅱ型;基底膜分层
溶解
但无细胞坏死。Ⅲ型:缺损旁基底膜内有多量团块状电子致密沉着物。Ⅵ型:肾小球完全或不完全硬化
在一个毛细血管横断切面上可见到一个以上的缺损。一般认为
基底膜缺损是肾小球蛋白尿和血尿的形态学基础
Abstract
Gaps of the glomerular capillary basement membrane were observed by electron microscope in 8 of 44 biopsies from the patients with a variety of renal diseases. Ultrastructural changes of gaps were classified into 4 types according to Stejskl’s classification. Type I
segmental lamination and destruction of the basement membrane with necrosis of the podocytes and endothelial cells; Type II
segmental lamination and lysis of the basement membrane without cellular necrosis; Type I
gaps of the capillary basement membrane filled with extensive intramembranous deposits; Type VI
gaps of the capillary wall are partially or completely sclerotic glomeruli
several gaps being seen in the wall of a single capillary.It is generally thought that the presence of gaps in the glomerular capillary basement membrane is a morphologic indication of proteinuria and hematuria