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报告２２例系膜性ＩｇＭ肾病（ＩｇＭＮ），占同期原发性肾小球疾病（肾活检证实）总数的１３．９２％。临床表现为肾病综合征（ＮＳ）１５例，单纯性蛋白尿５例，蛋白尿伴镜下血尿２例。血清ＩｇＭ明显升高者１６例，其中１例最高达４．０９ｇ／Ｌ。病理检查全部病例肾小球系膜区以ＩｇＭ沉积为主，其中２０例为系膜增生性肾炎，２例为微小病变。１５例ＮＳ患者经激素或激素＋ＣＴＸ治疗后，完全缓解１２例，部分缓解３例，复发６例。２例ＮＳ伴有急性肾功能衰竭患者，经配合血液透析治疗后肾功能恢复正常
Reported 22 cases of mesangial IgM nephropathy (IgMN), accounting for the same period of primary glomerular disease (renal biopsy confirmed) the total number of 13.92%. Clinical manifestations of nephrotic syndrome (NS) in 15 cases, simple proteinuria in 5 cases, proteinuria with microscopic hematuria in 2 cases. Serum IgM was significantly higher in 16 cases, of which 1 case up to 4.09g / L. Pathological examination of all cases of glomerular mesangial area to IgM deposition, of which 20 cases of mesangial proliferative glomerulonephritis, 2 cases of minimal changes. Fifteen patients with NS were treated with hormones or hormone + CTX, 12 cases were completely relieved, 3 cases partially relieved and 6 cases relapsed. Two patients with NS accompanied by acute renal failure, renal function returned to normal after hemodialysis treatment