摘要
目的 探讨并分析StanfordB型主动脉夹层术前尿常规检验以及镜检结果。方法回顾性分析2007年1月-2013月5月新疆维吾尔自治区人民医院收治的97例StanfordB型主动脉夹层患者的临床资料，其中男性74例，女性23例。选取同期年龄和性别匹配的59例体检健康人群作为对照组。一次性尿杯留取患者清洁中段尿液，采用日本AIKELAIAX-4030全自动尿干化分析仪，SysmexUF1000i尿有形成分分析仪测定尿糖、尿酮体、尿蛋白、尿胆红素、尿胆原、尿潜血、尿白细胞，镜检白细胞、红细胞、尿道上皮细胞、管型、结晶。结果StanfordB型主动脉夹层患者术前尿常规中尿糖阳性率为26．80％，尿酮体阳性率为25．77％，尿蛋白阳性率为32．99％，尿胆原阳性率为14．58％，尿潜血阳性率为32．99％，显著高于对照组（P〈0．05）。镜检结果显示，白细胞阳性率为7．21％，镜检红细胞阳性率为10．31％，上皮细胞阳性率为6．19％，管型阳性率为6．19％，结晶阳性率为2．06％，与对照组比较，差异无统计学意义（P〉0．05）。结论StanfordB型主动脉夹层术前尿常规异常明显，临床上应评估StanfordB型主动脉夹层患者术前尿常规以及相应肾功能。
Objective To investigate and analyze the results of routine urine routine test of preoperative patients with Stanford type B aortic dissection. Methods From January 2007 to May 2013, clinical data of 97 consecutive patients with Stanford type B aortic dissection were retrospectively analyzed, 74 male patients and 23 female patients. 59 healthy people with similar age and sex were taken as the control group. Cleaning urine was collected by disposable urine cup. Urine indexes such as urine glucose, ketone body, protein, urobilinogen, bilimbin, occuh blood, white blood cells, microscopic examination of white blood cells, red blood cells, epithelium, tube type, crystallization were measured by AIKELAI AX-4030 urine dry chemistry analyzer, Sysmex UF1000i urine sediment analysis instrument. Results Positive rate of urine glucose （ 26. 80% ）, ketone body （ 25. 77% ）, protein （ 32.99% ）, urobilinogen （ 14.58 ）, occult blood （ 32.99% ） were higher than that of control group （ P 〈 0.05 ）. There was no statistics difference in Positive rate of microscopic examination of white blood cells（7.21% ）, red blood cells（ 10.31% ）, epithelium（6.19% ）, tube type（6.19% ）, crystallization（2.06% ） between Stanford type B aortic dissection group and control group （ P 〉 0.05 ）. Conclusions Urine routine abnormality was obvious in preoperative Stanford type B aortic dissection. Assessment should be attached to urinalysis and relevant renal function of preoperative Stanford type B aortic dissection.
出处
《国际外科学杂志》
2015年第12期820-823,共4页
International Journal of Surgery
关键词
主动脉夹层
尿分析
潜血
病例对照研究
Aortic dissection
Urinalysis
Occult blood
Case- control studies
