单个输尿管结石自然排出的预测性研究  

Predictive Study on Natural Discharge of Single Ureteral Calculi

作　　者：邱光槐 蔡娟 郑爱桦 郭训伟 钟赟 奚晶 钟阳县 QIU Guanghuai;CAI Juan;ZHENGAihua;GUO Xunwei;ZHONG Yun;XI Jing;ZHONG Yangxian(Ganzhou Nankang District First People’s Hospital,Ganzhou 341400,China)

机构地区：[1]江西省赣州市南康区第一人民医院,江西赣州341400

出　　处：《中国医学创新》2020年第7期124-127,共4页Medical Innovation of China

基　　金：赣州市指导性科技计划项目(GZ2018ZSF499)。

摘　　要：目的:分析单个输尿管结石自然排出的预测性。方法:选取2017年6月-2019年6月本院泌尿外科接收的单个输尿管结石患者186例作为研究对象,所有患者均经CT扫描、彩超检查确诊为单个输尿管结石,观察分析影像学、实验室检查、流行病学等情况,1个月后复诊,对所有患者的尿液、血液标本进行收集,输尿管结石变化情况通过彩超予以了解,通过检查结果将患者分成结石排出组、结石未排出组。结果:输尿管结石排出者有109例、未排出者77例,结石排出率为58.60%。相比结石未排出组,结石排出组患者的结石直径明显更小,差异有统计学意义(P<0.05);结石排出组患者上段、中段、下段结石位置比较,差异无统计学意义(P>0.05)。结石排出组患者的白细胞、C反应蛋白降低明显,分析认为血白细胞、C反应蛋白亦是对输尿管结石排出产生影响的重要因素,仅次于结石大小。结论:结石大小是影响单个输尿管结石自然排出最重要因素,除此之外也会受到血白细胞、C反应蛋白指标变化的影响。Objective:To analyze the predictability of natural discharge of single ureteral calculi.Method:A total of 186 patients with single ureteral calculi received by urology department from June 2017 to June 2019 in our hospital were selected as the research objects.All patients were diagnosed as single ureteral calculi by CT scan and color Doppler ultrasound.The imaging,laboratory examination and epidemiology were observed and analyzed.After one month,all patients were re-examined.Urine and blood samples were collected.The changes of ductal calculi were understood by color Doppler ultrasonography,and the patients were divided into two groups:the stone discharge group and the non-stone discharge group.Result:There were 109 cases of ureteral calculi discharged and 77 cases of non-discharged,with a stone discharging rate of 58.60%.Compared with the non-stone group,the stone diameter in the stone-discharging group was significantly smaller,with the difference was statistically significant(P<0.05);the stone location in the upper,middle and lower segments of the stone-discharging group had no statistical difference(P>0.05).Leukocyte and C-reactive protein decreased significantly in patients with calculus discharge.The analysis showed that leukocyte and C-reactive protein were also important factors affecting the discharge of ureteral calculi,second only to the size of calculus.Conclusion:Stone size is the most important factor affecting the natural discharge of single ureteral calculi.In addition,it is also affected by the changes of blood white blood cells and C-reactive protein.

关 键 词：单个输尿管结石 自然排出 结石大小 血白细胞变化 

分 类 号：R693.4[医药卫生—泌尿科学]