皮层深度的管状和淋巴状大小作为瘤根性腎切除术后渐进性CKD的预测指标
Aleksandar Denic1, Mrunanjali Gaddam1, Amr Moustafa1
1Division of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota.
Journal of the American Society of Nephrology : JASN
|July 11, 2023
概括
较深的皮层中较大的球体预示着进展性病. 相比之下,表面皮层中更宽的远端管道也与恶化的病 (CKD) 有关.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 脏病理学 脏病理学
- 病进展情况 病进展情况
背景情况:
- 脏大小与进展性脏疾病有关.
- 目前尚不清楚这种风险是否因皮层深度或特定脏片段而有所不同.
研究的目的:
- 调查不同皮层深度的球体和管状尺寸是否预测慢性病 (CKD) 的进展.
- 为了确定脏片段的大小和皮质位置是否会改变CKD进展的风险.
主要方法:
- 来自1367名接受激进切除术的患者的部份的分析.
- 在表面,中间和深层皮质层估计球体积和近端/远端管管直径.
- 考克斯的比例危险模型评估了对临床因素进行调整后的CKD进展风险.
主要成果:
- 在调整后,淋巴体体积预测了中层和深层皮质的CKD结果.
- 靠近管状直径预测了CKD,但在调整后失去了意义.
- 距离管管直径显示,即使在调整后,在表面皮质中,CKD的预测更强.
结论:
- 较大的球体是深层皮层中渐进性CKD的独立预测器.
- 更宽的远端管状直径是表面皮层中渐进性CKD的独立预测因素.
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