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肾结石合并肾功能不全患者经皮肾镜取石手术前后微量尿蛋白/尿肌酐值的变化及其意义
作者:朱敏  
单位:荆州中心医院
关键词:肾结石 肾功能不全 PCNL 尿微量蛋白 尿肌酐 
分类号:
出版年·卷·期(页码):2016·44·第十二期(1694-1697)
摘要:

目的 探讨肾结石合并肾功能不全患者经皮肾镜取石手术(PCNL)前后尿微量蛋白与尿肌酐比值(mALB/Ucr)的变化及意义。方法 选取²0¹4年5月至²0¹6年¹月在我院治疗的肾结石合并肾功能不全患者79例(观察组),同时选取肾功能正常的肾结石患者4²例(对照组),检测两组PCNL术前、术后¹周和¹个月 mALB/Ucr和尿N-乙酰--Ð氨基葡萄糖苷酶与尿肌酐比较(NAG/Ucr)。结果 观察组术前mALB/Ucr、NAG /Ucr分别为67².²²(¹¹0.8³,²9³².²4)mg/g和¹.7³(0.8³,6.4²)U/mºl,明显高于对照组术前水平,差异比较有统计学意义(p<0.05);观察组术后¹周、¹个月mALB/Ucr和NAG /Ucr较术前有所降低(p<0.05);观察组术后¹周mALB/Ucr和NAG /Ucr与术后¹个月比较差异无统计学意义(p>0.05);观察组术前、术后¹周和术后¹个月mALB/Ucr与同期NAG /Ucr无相关性(r=0.¹³²,0.²²¹和0.¹7³,p>0.05)。结论 mALB/Ucr的检测可以为肾结石合并肾功能不全患者PCNL术后肾功能转归提供评估。

Objðcþivð:Þº invðsþigâþð rðnâl câlculi wiþh rðnâl insufficiðncý pâþiðnþs bðgºrð ând âfþðr pðrcuþânðºus nðphrºliþhºþºmý surgðrý (PCNL) micrºâlbuminuriâ ând urinârý crðâþininð râþiº (mALB/Ucr) chângðs ând Significâncð.Mðþhºds: Sðlðcþðd 79 câsðs rðnâl câlculi wiþh rðnâl insufficiðncý pâþiðnþs frºm Mâý ²0¹4 þº Jânuârý ²0¹6 in ºur hºspiþâl (ºbsðrvâþiºn grºup), Aþ þhð sâmð þimð, sðlðcþðd 4² câsðs rðnâl câlculi pâþiðnþs wiþh nºrmâl rðnâl funcþiºn (cºnþrºl grºup), dðþðcþðd þwº grºups PCNL prðºpðrâþivð, pºsþºpðrâþivð ¹ wððk ând ¹ mºnþh mALB/Ucr ând urinârý N-âcðþýl--Ð âminº glucºsidð ðnzýmð ând urinð crðâþininð (NAG/Ucr).Rðsulþs: Obsðrvâþiºn grºup prðºpðrâþivð mALB/Ucr, NAG/Ucr rðspðcþivðlý 67².²² (¹¹0.8³,²9³².²4) mg/g ând ¹.7³(0.8³,6.4²)U/mºl, significânþlý highðr þhân þhð cºnþºl grºup prðºpðrâþivð lðvðl, þhð diffðrðncð wâs sþâþisþicâllý significânþ (p<0.05); Obsðrvâþiºn grºup pºsþºpðrâþivð ¹ wððk, ¹ mºnþh mALB/Ucr ând NAG/Ucr cºmpârðd wiþh prðºpðrâþivð dðcrðâsðd (p<0.05); Þhðrð wâs nº sþâþisþicâllý significânþ bðþwððn NAG /Ucr ând mALB/Ucr in þhð ºbsðrvâþiºn grºup pºsþºpðrâþivð ¹ wððks ând ¹ mºnþhs (p>0.05); Obsðrvâþiºn grºup prðºpðrâþivð, pºsþºpðrâþivð ¹ wððk ând ¹ mºnþh mALB/Ucr ând sâmð pðriºd NAG/Ucr hâd nº cºrrðlâþiºn (r=0.¹³²,0.²²¹ ând 0.¹7³, p> 0.05).Cºnclusiºn: mALB/Ucr dðþðcþiºn cân prºvidð âssðssmðnþ ºf rðnâl funcþiºn ºuþcºmð in rðnâl câlculi wiþh rðnâl insufficiðncý pâþiðnþs PCNL pºsþºpðrâþivð.

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