桑托格兰诺瘤炎:公布病例的综合定量分析
Allison M Parrill1, Allen Tsiyer2, Joshua Fogel3
1Department of Family Medicine, University of South Carolina School of Medicine, Seneca, South Carolina, USA. allisonmparrill@gmail.com.
Folia medica Cracoviensia
|September 10, 2024
概括
桑托格拉诺瘤性炎 (XGP) 是一种罕见的病. 双边或马损伤,需要透析或接受特定手术的患者面临较高的不良结果风险.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 炎症性疾病 炎症性疾病
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 桑托格兰瘤炎 (XGP) 是一种罕见的,严重的炎症性病,原因不明.
- 了解风险因素和结果对于管理这种严重疾病至关重要.
研究的目的:
- 为了系统地审查Xanthogranulomatous Pyelonephritis病例.
- 确定XGP中患者不良结果和并发症的预测因素.
主要方法:
- 使用"Pyelonephritis,Xanthogranulomatous. "进行系统的文献搜索.
- 分析了251例患者病例,检查了人口统计,症状和治疗方法.
- 多变量逻辑回归用于评估与复合结果和并发症的关联.
主要成果:
- 发烧和结石是常见的症状/发现.
- 15.5%的人经历了复合结局 (例如,并发症,CKD,死亡).
- 双边/马,透析和特定的手术治疗显著增加了不良结果的几率.
结论:
- 双边/马的XGP患者,需要透析,或经历nephrostomy/nephrectomy需要积极的管理.
- 识别这些危险因素有助于减轻Xanthogranulomatous Pyelonephritis患者的不良结果.
相关概念视频
01:27Acute Pyelonephritis I: Introduction
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such as Proteus,...
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...