在“亚临床”糖尿病肾病(DN)肾小球高滤过期,各项肾脏大小指标均明显增大,并且其改变早于微量白蛋白尿出现之前。受试者工作特征(ROC)曲线分析提示肾小球高滤过的’肾脏长径界值为10.53cm,其灵敏度最佳,特异度和总符合率均较高,对筛查早期DN肾小球高滤过期有一定临床价值。
In subclinical diabetic nephropathy with glomerular hyperfiltration, the renal size parameters are increased significantly, and this change sets in as early as before the appearance of microalbuminuria. The average kidney length discriminator value for glomerular hyperfihration by receiver operating characteristic ( ROC ) curve analysis is 10.53 cm, with the best sensitivity, higher specificity and total coincidence rate, and can be a clinical indicator for screening early diabetic nephropathy with glomerular hyperfiltration.