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目的:探讨尿中IL┐6测定在系膜增殖性肾炎(MsPGN)病理诊断、病程监测中的意义。方法:应用生物活性法测定30例MsPGN患儿及15例非系膜增殖性肾炎(N┐MsPGN)患儿尿中IL┐6活性,同时分析其与MsPGN病理改变的关系。结果:MsPGN组尿中IL┐6活性较N┐MsPGN组显著增高,中度MsPGN尿IL┐6活性较轻度MsPGN显著增高,且与MsPGN病理程度密切相关。结论:尿中IL┐6活性的测定能间接反映肾脏病变类型及程度,监测尿中IL┐6活性对MsPGN病理诊断的预计有重要意义
Objective: To investigate the significance of urinary IL ┐ 6 determination in the pathological diagnosis and duration of mesangial proliferative glomerulonephritis (MsPGN). Methods: Urinary IL-6 activity was measured by bioassay in 30 cases of MsPGN and 15 cases of non-proliferative nephritis (N┐MsPGN). Meanwhile, the relationship between IL-6 and MsPGN pathological changes was analyzed. Results: The urinary IL┐6 activity in MsPGN group was significantly higher than that in N┐MsPGN group, while the urinary IL┐6 activity in moderate MsPGN group was significantly higher than that of mild MsPGN group, which was closely related to the pathological grade of MsPGN. Conclusion: The determination of urinary IL ┐ 6 activity can indirectly reflect the type and extent of renal lesions. Monitoring urinary IL ┐ 6 activity is of great significance for the prediction of MsPGN pathological diagnosis