北京大学学报(医学版) ›› 2024, Vol. 56 ›› Issue (4): 745-749. doi: 10.19723/j.issn.1671-167X.2024.04.032

• 短篇论著 • 上一篇    

肾结石合并系统性红斑狼疮行经皮肾镜碎石取石术的安全性和有效性评估

乔佳佳,田聪,黄晓波,刘军*()   

  • 收稿日期:2024-03-15 出版日期:2024-08-18 发布日期:2024-07-23
  • 通讯作者: 刘军 E-mail:hmuliujun@163.com
  • 基金资助:
    北京市卫生健康和科技成果适宜技术推广项目(BHTPP2022082);北京大学人民医院科学研究发展基金(RDE2023-11)

佳佳 乔,聪 田,晓波 黄,军 刘*()   

  • Received:2024-03-15 Online:2024-08-18 Published:2024-07-23
  • Contact: 军 刘 E-mail:hmuliujun@163.com
  • Supported by:
    the Beijing Health Technologies Promotion Program(BHTPP2022082);by Peking University People' s Hospital Scientific Research Development Funds(RDE2023-11)

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关键词: 系统性红斑狼疮, 经皮肾镜碎石取石术, 感染性结石, 围手术期

中图分类号: 

  • R699.2

图1

结石残留患者的术前术后影像学对比"

图2

两次PCNL后的影像学对比"

表1

8例患者术前临床特征"

Clinical characteristics Value
Gender, n(%)
Female 8 (100.0)
Age/years, $\bar x \pm s$ 42.5±7.2
BMI/(kg/m2), $\bar x \pm s$ 24.8±3.8
Urine white blood cell/μL,M(P25, P75) 479.9 (281.8, 1 306.5)
Urine bacterial count/μL,M(P25, P75) 163.0 (57.3, 739.0)
Urine pH,M(P25, P75) 6.8 (6.5, 7.5)
Urine nitrite positive,n (%) 3 (37.5)
Serum creatinine/(μmol/L),M(P25, P75) 60.5 (45.8, 69.0)
Urine bacterial culture positive,n (%) 6 (75.0)
History of SLE/years,$\bar x \pm s$ 9.2±6.3
Stone diameter/mm,M(P25, P75) 64.4 (60.0, 78.0)
Degree of hydronephrosis
Mild 5 (50.0)
Moderate 1 (12.5)
Severe 2 (25.0)
Staghorn calculi,n(%) 5 (62.5)

表2

8例患者手术相关数据"

Items Value
Postoperative fever,n(%) 7 (87.5)
Preoperative steroid shock,n(%) 7 (87.5)
Operation time/min, $\bar x \pm s$ 84.3±19.7
Number of channels,$\bar x \pm s$ 1.5±0.5
Lithotriptic tool,n(%)
Laser 4 (50.0)
Ultrasonic 8 (100.0)
Pneumatic ballistic 3 (37.5)
Vacuum aspiration 8 (100.0)
Stone composition analysis, n(%)
Infectious stones 8 (100.0)
Residual stone 6 (75.0)
Complication(Clavien-Dindo), n(%)[6]
Ⅰ grade 3 (37.5)
Hospital stay/d, $\bar x \pm s$ 12.9±4.8

表3

8例患者术前术后化验指标对比"

Laboratory indicators Pre-operative (n=8) Post-operative (n=8) P
Serum creatinine/(μmol/L) 57.6±13.0 64.3±14.0 0.33
White blood cell/(×109/L) 7.0±2.3 9.4±4.3 0.25
Platelet/(×109/L) 179.3±53.1 171.6±51.4 0.83
Hemoglobin/(g/L) 120.5±13.1 110.0±6.1 0.13
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