Release time:2025-12-29
The prevalence of chronic kidney disease (CKD) continues to rise globally. A 2012 survey in China indicated a prevalence rate of 10.8% among adults, highlighting the urgent need for standardized pathological diagnosis. According to the 2018 Expert Consensus on Standardized Diagnosis of Renal Biopsy Pathology, renal biopsy requires integration of light microscopy, immunofluorescence, and electron microscopy. Among these, special staining techniques are crucial for precise diagnosis. This article highlights four core special staining methods: PAS staining visualizes basement membranes and glycoproteins (purplish-red), applied in membranous nephropathy, IgA nephropathy, and focal segmental glomerulosclerosis; Masson's trichrome staining distinguishes collagen fibers (e.g., red mesangial areas) from amyloid deposits (gray-blue), effectively diagnosing renal amyloidosis and malignant hypertensive lesions; Hexamine silver staining clearly visualizes basement membrane spikes and chain-link patterns, suitable for membranous nephropathy and diffuse mesangial sclerosis; reticular fiber staining requires combination with other methods to evaluate basement membrane lattices. The integrated application of these techniques comprehensively reveals histopathological lesions, enhancing diagnostic accuracy and prognostic assessment.
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