摘要
目的分析单侧输尿管结石致肾绞痛急性发作患者肾实质CT值特征。方法选取2013年10月—2015年4月台州市第一人民医院收治的符合纳入与排除标准的单侧输尿管结石伴肾绞痛急性发作患者119例为研究组,另选取2014年1月—2015年4月本院体检健康者40例为对照组;另根据输尿管生理性狭窄部位将研究组患者分为腹段组(53例)、盆段组(25例)和膀胱壁内段组(41例),同时根据视觉模拟评分法(VAS)评分将研究组患者分为轻度疼痛组(26例)、中度疼痛组(64例)和重度疼痛组(29例)。分别测量和计算所有双肾CT比值〔研究组患者双肾CT比值=(患侧肾实质CT值/健侧肾实质CT值)×100%;对照组双肾CT比值=(任意一侧肾实质CT小值/另一侧肾实质CT大值)×100%〕,比较上述各组间双肾CT比值,并分析研究组患者双肾CT比值与输尿管结石直径的相关性。结果腹段组、盆段组和膀胱壁内段组患者双肾CT比值均小于对照组(P<0.05);腹段组、盆段组和膀胱壁内段组患者双肾CT比值比较,差异无统计学意义(P>0.05)。轻度疼痛组患者双肾CT比值大于中度疼痛组、重度疼痛组,中度疼痛组患者双肾CT比值大于重度疼痛组(P<0.05)。研究组患者双肾CT比值与单侧输尿管结石直径无直线相关关系(r=0.012,P>0.05)。结论单侧输尿管结石致肾绞痛急性发作时,双肾CT比值下降不能预测结石直径,但一定程度上可以了解患者的疼痛程度。
Objective To investigate the clinical characteristics of the CT value of renal parenchyma of patients with acute attacks of renal colic induced by unilateral ureteral calculi. Methods We recruited 119 patients with acute attacks of renal colic induced by unilateral ureteral calculi who were admitted into Taizhou First People′s Hospital from October 2013 to April 2015 and accorded with the inclusion and exclusion criteria as research group,and enrolled 40 healthy people who received physical examination in the hospital from January 2014 to April 2015. According to the site of ureter stenosis,the patients in research group were assigned into abdomen group（n = 53）,pelvis group（n = 25）and inner bladder wall group（n = 41）. According to VAS score,the patients in research group were also assigned into mild pain group（n = 26）,moderate pain group（n = 64） and severe pain group（n = 29）. The double kidney CT ratio of all the subjects was measured and calculated〔the double kidney CT ratio of research group = （the CT value of renal parenchyma on the lesion side/ the CT value of renal parenchyma on the healthy side） × 100% ;the double kidney CT ratio of control group = （the lower CT value of renal parenchyma on one side/ the higher CT value of renal parenchyma on the other side） × 100% 〕. Comparison was made in double kidney CT ratio between the two groups,and the correlation between double kidney CT ratio and ureteral calculi of research group was analyzed. Results Abdomen group,pelvis group and inner bladder wall group were lower than control group in double kidney CT ratio（P〈 0. 05）. Mild pain group was higher than moderate pain group and severe pain group in double kidney CT ratio,and moderate pain group was higher than severe pain group in double kidney CT ratio（P 〉 0. 05）. Conclusion When acute attacks of renal colic induced by unilateral ureteral calculi happen,the lowering of double kidney CT ratio can not predict the stone diameter,but to a certain extent,we can know the degree of pain in patients.
出处
《中国全科医学》
CAS
CSCD
北大核心
2016年第18期2232-2236,共5页
Chinese General Practice
