[简单囊对功能的影响]
V A Malkhasyan1,2,3,4, T B Makhmudov1,2,3,4, Yu Sh Gilfanov1,2,3,4
1S.I.Spasokukotsky City Clinical Hospital of the Moscow Healthcare Department, Moscow, Russia.
Urologiia (Moscow, Russia : 1999)
|October 18, 2023
概括
简单的脏囊可以通过引起膜缩而对功能产生负面影响. 损失20%的膜体积表明需要膜扫描来评估功能和指导治疗决策.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
背景情况:
- 简单的脏囊影响7-10%的人口.
- 目前的临床指南缺乏对简单囊的治疗建议.
- 有证据表明,简单的囊可以损害功能,原因是对酶体压缩和缩.
研究的目的:
- 分析简单囊对功能的影响.
- 为了研究囊大小,腹膜缩和功能之间的关系.
- 确定在简单囊病例中进行外科手术的指示.
主要方法:
- 对109名患有单独的波斯尼亚I-II级囊的患者进行前性队列研究.
- 使用估计的淋巴细胞过率 (eGFR) 计算和对比CT扫描来评估囊大小和副体体积.
- 进行脏扫描检查全功能和分裂功能,比较受影响和健康的脏.
主要成果:
- 在健康脏和受囊影响的脏之间观察到GFR的显著差异 (平均差异为11毫升/分钟).
- 失去膜的比例和最大囊大小 (r=0.37) 之间存在强烈的相关性.
- 损失膜体积的百分比是减少GFR的显著预测指标 (OR=1.13).
结论:
- 脏囊的生长与帕伦基马缩和降低GFR有关.
- 20%的膜体积的损失被提议作为膜扫描的指示.
- 建议使用Cockcroft-Gault公式来计算eGFR,该公式是标准化的身体表面积.
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