小于8 mm并引起梗阻及炎性反应的输尿管结石自行排出率的影响因素

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Abstract Objective A ureter obstruction caused by a ureteral stone results in inflammatory changes in the proximal submucosal layer and prevents the spontaneous passage of the ureteral stone. Accordingly, we analyzed the relationship between the spontaneous passage rates of ureteral stones less than 8 mm in size and serum C-reactive protein (CRP) levels and neutrophil percentages. Methods A total of 287 patients who were diagnosed as having ureteral stones less than 8 mm in size and were managed consecutively at Urological Surgery, Department Xinjiang Uigur Autonomous Regional Corps from January 2001 to January 2014 were retrospectively analyzed. Ureteral stone removal was defined as no ureteral stone shown in an imaging test for 4 weeks after diagnosis. The patients were divided into three groups according to the levels of CRP and into two groups according to neutrophil percentage. The associations between these factors and ureteral stone passage rates were then examined.Results The ureteral stone passage rates in the low serum CRP level group, the medium serum CRP level group, and the high serum CRP level group were 94.1%, 70.0%, and 50.0%, respectively. The passage rates of ureteral stones in the group with a normal neutrophil percentage and in the group with a higher neutrophil percentage were 94.5% and 83.1%, respectively.Conclusions When the CRP level and neutrophil percentage in a patient are high, aggressive treatment such as extracorporeal shock wave lithotripsy or ureteroscropy lithotripsy should be considered.

Key words： C-reactive protein neutrophil ureterolithiasis

Received: 10 June 2014

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	Articles by authors
	YAN Dong
	YUAN Chaoying
	YUAN Jie
	HUANG Suxi
	XIAO HuaPing
	WANG Jun
	and HAI Lati

Cite this article:

YAN Dong,YUAN Chaoying,YUAN Jie等. Relationship between spontaneous passage rates of ureteral stones less than 8 mm and C-reactive protein levels and neutrophil percentages[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2014, 25(11): 1121-1123.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2014/V25/I11/1121

[3]	Elton T J, Roth C S, Berquist T H, et al. A clinical prediction rule for the diagnosis of ureteral calculi in emergency departments[J].J Gen Intern Med,2009,8:57-62.
[1]	Trinchieri A,Coppi F,Montanari E, et al.Increase in the prevalence of symptomatic upper urinary tract stones during the last ten years[J].Eur Urol,2000,37(1):23-25.
[2]	那彦群,叶章群,孙颖浩,等.中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2014:129-187.
[4]	Stewart C. Nephrolithiasis[J]. Emerg Med Clin North Am,2010,6:617-630.
[5]	Wolf J,S Jr.Treatment selection and outcomes:uretreral calculi [J].Urol Clin North Am,2007,34(3):421-430.
[3]	Elton T J, Roth C S, Berquist T H, et al. A clinical prediction rule for the diagnosis of ureteral calculi in emergency departments[J].J Gen Intern Med,2009,8:57-62.
[4]	Stewart C. Nephrolithiasis[J]. Emerg Med Clin North Am,2010,6:617-630.
[6]	李仙,张晓春.输尿管结石治疗进展及其治疗策略的选择[J].中国煤炭工业医学杂志,2008,11(5):784-786.
[5]	Wolf J,S Jr.Treatment selection and outcomes:uretreral calculi [J].Urol Clin North Am,2007,34(3):421-430.
[7]	吴阶平.吴阶平泌尿外科学[M].济南:山东科学技术出版社,2004:785-786.
[8]	郭应禄,周利群.上尿路结石的手术治疗[M].北京:北京大学医学出版社,2009:1509-1588.
[6]	李仙,张晓春.输尿管结石治疗进展及其治疗策略的选择[J].中国煤炭工业医学杂志,2008,11(5):784-786.
[9]	Hubner W A,Irby P,Stoller M L.Natural history and current concepts for the treatment of small ureteral calculi[J].Eur Urol,1993,24(2):172-176.
[7]	吴阶平.吴阶平泌尿外科学[M].济南:山东科学技术出版社,2004:785-786.
[10]	Jang W K, Hong Y K. The efficacy of furosemide-based medical expulsive therapy with tamsulosin and deflazacort for symptomatic distal ureter stones[J]. Korean J Urol,2008,49:1013-1017.
[8]	郭应禄,周利群.上尿路结石的手术治疗[M].北京:北京大学医学出版社,2009:1509-1588.
[11]	Sfoungaristos S, Kavouras A, Katafigiotis I, et al.Role of white blood cell and neutrophil counts in predicting spontaneous stone passage in patients with renal colic[J].BJU Int,2012,110(8 Pt B):E339-E345.
[9]	Hubner W A,Irby P,Stoller M L.Natural history and current concepts for the treatment of small ureteral calculi[J].Eur Urol,1993,24(2):172-176.
[10]	Jang W K, Hong Y K. The efficacy of furosemide-based medical expulsive therapy with tamsulosin and deflazacort for symptomatic distal ureter stones[J]. Korean J Urol,2008,49:1013-1017.
[11]	Sfoungaristos S, Kavouras A, Katafigiotis I, et al.Role of white blood cell and neutrophil counts in predicting spontaneous stone passage in patients with renal colic[J].BJU Int,2012,110(8 Pt B):E339-E345.

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