输尿管支架相关尿路感染患者肾脏形态与红细胞形态变化研究

发布时间：2019-08-15 11:31

【摘要】：目的观察总结输尿管支架相关尿路感染患者肾脏形态与红细胞形态的变化特点,为临床准确评价输尿管支架相关尿路感染病情提供可靠信息。方法选取医院泌尿外科2013年2月-2015年12月期间输尿管支架留置术后并发尿路感染的患者61例作为感染组,同时选取同期接受输尿管支架留置后无感染的63名患者作为未感染组,在泌尿外科手术前后分别进行肾静态显像检查和尿红细胞形态分析,对比分析两组患者手术前后肾脏形态、尿红细胞形态的变化特点。结果手术前两组尿红细胞形态均以均一型为主,且未见肾脏炎性病变,组间尿红细胞形态异常率、肾炎病变率无显著性差异;手术后,感染组红细胞形态异常率(80.3%)、肾脏阳性改变率(57.4%)显著高于对照组,组间数据比较,有显著性差异(P0.05)。结论输尿管支架相关尿路感染患者多存在尿红细胞形态异常、尿白细胞增多、肾实质炎性病变等病理性改变,输尿管支架管并发尿路感染患者应积极进行尿红细胞分析和肾静态显像检查,尽早准确评估肾实质受累情况。
[Abstract]:Objective to observe and summarize the changes of renal morphology and red blood cell morphology in patients with ureter stent-associated urinary tract infection, and to provide reliable information for clinical accurate evaluation of ureter stent-related urinary tract infection. Methods 61 patients complicated with urinary tract infection after ureter stent indwelling from February 2013 to December 2015 were selected as infection group, and 63 patients who received ureter stent indwelling at the same time were selected as uninfected group. Renal static imaging and urine red blood cell morphology were performed before and after urology, and the renal morphology of the two groups before and after operation was compared and analyzed. The morphological characteristics of urine red blood cells. Results before operation, the morphology of urine red blood cells in the two groups was mainly homogeneous, and there was no renal inflammatory lesion. There was no significant difference in the abnormal rate of urine erythrocyte morphology and the rate of nephritis between the two groups. After operation, the abnormal rate of red blood cell morphology (80.3%) and the positive change rate of kidney (57.4%) in the infected group were significantly higher than those in the control group (P 0.05). Conclusion most of the patients with ureter stent-associated urinary tract infection have abnormal morphology of urinary red blood cells, increased urinary leukocytes and inflammatory lesions of renal parenchyma. Urinary red blood cells analysis and renal static imaging should be actively performed in patients with ureter stents complicated with urinary tract infection to evaluate the involvement of renal parenchyma as soon as possible.
【作者单位】：郑州大学附属郑州中心医院泌尿外科二病区;郑州大学附属郑州中心医院急诊重症监护室;
【分类号】：R699

【相似文献】