尿检异常结果与尾炎位置之间的关系
Mehment Alperen Avci1, Can Akgün2, Mustafa Safa Uyanik2
1Samsun University General Surgery, Samsun, Turkey. dr.maavci@gmail.com.
International journal of colorectal disease
|September 15, 2023
概括
尿液分析发现,如血和腹与急性尾炎的位置相关. 这些尿液检测结果可以帮助外科医生确定尾.
科学领域:
- 一般外科 整体外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 诊断医学 诊断医学 诊断医学
背景情况:
- 急性尾炎是经常出现的外科紧急情况,需要及时诊断.
- 尿液分析异常,包括出血症和发烧症,已被事地与尾炎联系起来.
- 尿液分析与尾炎位置相关的诊断效用仍未得到充分探索.
研究的目的:
- 为了研究尿液分析结果 (血,腹) 与急性尾炎的解剖位置之间的关联.
- 确定尿液检测结果是否可以为尾炎病例的手术决策提供补充信息.
主要方法:
- 对577名因疑似急性尾炎而接受尾切除术的患者进行了回顾性分析.
- 数据从2018年1月到2022年12月在萨姆森训练和研究医院收集.
- 统计评估尾炎位置与尿液分析中的红细胞,白细胞和白细胞酶水平之间的相关性.
主要成果:
- 在尾炎的位置之间发现了红细胞值的显著差异 (p=0.009),特别是在平行和背病例中.
- 白细胞值在尾炎位置 (p<0.001) 中显示出显著差异,特别是在平行,前沿和尾部位.
- 白细胞雌激酶阳性与尾炎的位置 (p=0.002) 有显著的关联,特别是在平行和背位置.
结论:
- 在明显比例的急性尾炎患者中观察到异常的尿液分析结果.
- 尿液中的红细胞,白细胞和白细胞酶水平与急性尾炎的位置有显著的相关性.
- 尿液分析结果可以提供关于尾位置的宝贵见解,有可能优化手术时间和操作成本.
更多相关视频
03:19Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
Published on: June 21, 2024
1.1K
06:39Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
Published on: November 22, 2019
7.7K
相关概念视频
01:22Appendicitis-I: Introduction
221
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
221
01:29Appendicitis-II: Diagnostic Studies and Management
98
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
98
01:19Abdominal Regions and Quadrants
8.6K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
8.6K
01:29Urine Studies I: Urinalysis
38
Urinalysis is a widely used diagnostic test that analyzes urine's physical, chemical, and microscopic characteristics. Healthcare providers use it to detect and monitor various health conditions, including renal disease, urinary tract infections (UTIs), diabetes, and metabolic or systemic disorders.Components of UrinalysisUrinalysis consists of three primary components: physical, chemical, and microscopic examination. Each provides unique insights into the urine sample and, by extension, the...
38
01:26Nursing Assessment of the Genitourinary System II: Inspection and Palpation
133
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
133
01:25Assessment of the Rectum and Anus
268
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
268