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北京大学学报（医学版） ›› 2023, Vol. 55 ›› Issue (5): 948-952. doi: 10.19723/j.issn.1671-167X.2023.05.027

• 短篇论著 • 上一篇    

经皮肾镜取石术中异常肾盂黏膜活检结果分析

田聪,刘军,杨波,乔佳佳,黄晓波,许清泉*()   

  • 收稿日期:2023-02-22 出版日期:2023-10-18 发布日期:2023-10-09
  • 通讯作者: 许清泉 E-mail:xuqingquan@bjmu.edu.cn
  • 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)

聪 田,军 刘,波 杨,佳佳 乔,晓波 黄,清泉 许*()   

  • Received:2023-02-22 Online:2023-10-18 Published:2023-10-09
  • Contact: 清泉 许 E-mail:xuqingquan@bjmu.edu.cn
  • Supported by:
    the Beijing Health Technologies Promotion Program(BHTPP2022082)

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关键词: 经皮肾镜取石术, 肾盂肿瘤, 肾结石, 活组织检查

中图分类号: 

  • R737.11

表1

接受肾盂黏膜活检患者的临床特征"

Clinical characteristics Male (n=40) Female (n=29)
Urine white blood cell/(/μL), M (P25, P75) 97.50 (26.00, 912.50) 552.00 (85.50, 1 585.50)
Urine red blood cell/(/μL), M (P25, P75) 61.50 (11.25, 397.50) 30.00 (15.00, 80.00)
Urine bacterial count/(/μL), M (P25, P75) 24.00 (8.00, 622.00) 586.00 (46.00, 3 254.00)
Urine pH, M (P25, P75) 6.00 (5.63, 6.88) 6.25 (6.00, 6.50)
Urine nitrite positive, n (%) 6 (15.00) 8 (27.60)
Serum creatinine/(μmol/L), M (P25, P75) 85.00 (73.00, 102.25) 84.00 (59.50, 179.00)
Urine bacterial culture positive, n (%) 8 (20.70) 16 (58.60)
Maximum stone diameter/cm, M (P25, P75) 2.30 (2.00, 3.62) 3.00 (2.00, 4.05)
Degree of hydronephrosis, n (%)
    Mild 9 (22.50) 7 (24.10)
    Moderate 11 (27.50) 7 (24.10)
    Severe 13 (32.50) 11 (37.90)
Ipsilateral surgery, n (%) 8 (20.00) 10 (34.50)
History of stones/months, M (P25, P75) 30.00 (2.00, 120.00) 67.00 (6.75, 177.00)

图1

合并肾盂癌患者的术前CT影像"

表2

肾盂癌患者的临床特征"

Gender Age/ years History of stones/year Degree of hydronephrosis Ipsilateral surgery Urinary infection Stone type Biopsy pathology Treatment Follow-up
Male 65 1 Mild+renal cyst Yes No Multiple Papillary high-grade UTUC Endoscopic resection Male0
Female 40 10 Severe Yes Yes Staghorn High-grade UTUC Neoadjuvant chemotherapy (GC) and RNU Female0
Male 67 20 NA No No Staghorn High-grade UTUC with squamous differentiation Endoscopic ablation and neoadjuvant chemotherapy (GC) Male0
Male 56 3 Severe Yes Yes Multiple Squamous cell carcinoma Renal artery embolization Male0
Male 50 3 Severe Yes Yes Multiple Low-grade UTUC RNU and adjuvant chemotherapy (GC) Male0
Female 68 20 Moderate Yes Yes Staghorn Low-grade UTUC with high grade component Endoscopic resection Female0
Male 58 0.25 Severe No No Multiple Low-grade UTUC with high grade component RNU Male0
Male 79 0.25 Severe+renal cyst Yes Yes Multiple UTUC Renal artery embolization Male0
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ISSN 1671-167X
CN 11-4691/R
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