血清钙在肾结石患者经皮肾输尿管镜术前的检测分析
 |
| 第1页 |
参见附件(1711KB，2页)。
[摘要] 目的:探讨血清钙在肾结石患者经皮肾输尿管镜术前的检测意义。方法:选取2008年4月～2009年4月于我院行经皮肾输尿管镜术的43例肾结石患者为研究对象,分别于术前检测其血清钙,后将检测结果进行统计分析及比较。结果:43例患者中有9例患者的血清钙明显高于其他34例患者(P<0.05),经进一步检查发现其均为结石伴原发性甲状旁腺功能亢进的患者。结论:在将行经皮肾输尿管镜术的患者中行血清钙检测,对于有效地找出患者原发症有积极的意义。
[关键词] 血清钙;肾结石;原发性甲状旁腺功能亢进
[中图分类号] R692.405 [文献标识码]B[文章编号]1673-7210(2010)05(a)-202-02
Analysis of calcium in serum in patients with kidney stones before PCNL
LIU Risheng, DENG Wandi, FENG Cailing
(The Shilong Bo'ai Hospital of Dongguan City, Dongguan 523320, China)
[Abstract] Objective:To study the significance of calcium in serum in patients with kidney stones before PCNL. Methods: 43 cases of patients with kidney stones who would be treated with PCNL from April 2008 to April 2009 in our hospital were selected as research objects, then the calcium in serum of all the patients were detected, and the results were studied and compared. Results: After the study and comparison, we found that the calcium in serum of 9 cases were higher than that of the other 34 cases (P<0.05), and after further study, the 9 cases with higher calcium in serum were primary hyperparathyroidism. Conclusion: The detection of calcium in serum in patients with kidney stones before PCNL is meaningful and it is significant for idiopathy.
[Key words] Calcium in serum; Kidney stones; Primary Hyperparathyroidism
本文中就血清钙在肾结石患者行经皮肾输尿管镜术前的检测意义进行分析,为治疗提供依据。现报道如下:
1 资料与方法
1.1 一般资料
选取2008年4月～2009年4月于我院行经皮肾输尿管镜术的43例肾结石患者为研究对象,其中,男27例,女16例;年龄29～69岁,平均(39.8±3.2)岁;肾结石大小:最小0.4 cm×0.4 cm,最大3.6 cm×2.5 cm。所有患者均为拟行经皮肾输尿管镜术的患者。
1.2 检测方法
术前将所有患者进行血清钙检测,后将检测结果进行统计分析,并加以比较。
1.3 统计学分析
采用SPSS 12.0统计学软件进行分析,数据以均数±标准差(x±s)表示,采用t检验和χ2检验,P<0.05为有显著性差异。
2 结果
2.1 检测结果
检测后将患者的检测结果进行统计分析,具体比较情况见表1。
2.2 分析结果
后将血清钙水平较高的患者做进一步检查分析,发现患者同时伴有低血磷、血氯增高、尿cAMP增高等,患者均为原发性甲状旁腺功能亢进伴肾结石的患者,其原发病为原发性甲状旁腺功能亢进,这是导致肾结石的最主要原因,如行经皮肾输尿管镜术后不处理原发症,仍有反复肾结石的可能。
3 讨论
肾结石是多数位于肾盂、肾盏内,肾实质结石少见[1]。结石是由于机体内胶体和晶体代谢平衡失调所致,与感染、营养代谢紊乱、泌尿系统异物、尿郁积以及地理气候等因素有关[2],年龄大于30岁的人比年轻人更易患此病[3],儿童发生此病比较罕见[4] ......
您现在查看是摘要介绍页，详见PDF附件(1711KB，2页)。