摘要
目的 :探讨国人肾盂的形态特点与上尿路结石的关系。方法 :观察立位腹部平片和静脉肾盂造影片(KUB加IVP) ,记录双侧肾盂形态、上尿路结石的情况 ,并采用 χ2 检验分析两者间的关系。结果 :2 0 0 6个肾脏中 ,12 38个 (6 1.7% )为肾内型肾盂 ,75 1个 (37.4 % )为中间型肾盂 ,17个 (0 .8% )为肾外型肾盂。 2 18例(2 1.7% )病例双侧肾盂形态不一致。发生肾结石的 188个肾脏中 ,136个 (72 % )为肾内型肾盂 ;伴同侧输尿管结石的 2 32个肾脏中 15 8个 (6 8% )为肾内型肾盂。肾内型肾盂的肾和同侧输尿管结石发生率显著高于非肾内型肾盂 (P <0 .0 1,P <0 .0 5 ) ,肾内型肾盂发生多发肾结石率显著高于非肾内型肾盂 (P <0 .0 1)。结论 :肾内型肾盂最多见 ,中间型次之。少部分人双侧肾盂形态不一致。肾内型肾盂更易于发生上尿路结石 。
Purpose:To investigate the distributive characteristic of renipelvis in the domestic and to explore the probable correlation between it and upper urinary tract lithiasis.Methods:Data was registered about bilateral renipelvis type and upper urinary tract lithiasis based on KUB+IVP. The correlations between them were analysed using χ 2 test and statistical significance exists if P< 0.05.Results:Of the total 2006 kidneys, 1238( 61.7%) were intrahilus and 751( 37.4%) were medium type. Type of bilateral renipelvis were not uniform in 218 patients ( 21.7%). Difference was significant in morbidity of nephrolithiasis(including multiple) and ureterolithiasis between in kidneys with intrahilus and non-intrahilus pelvis respectively (P< 0.01 , P< 0.05).Conclusions:Most common type of renipelvis is intrahilus and types of bilateral renipelvis may be not uniform in 20 percent of domestic people.Kidneys of intrahilus pelvis are more susceptible to nephrolithiasis(especially complex) and homolateral ureterolithiasis.
出处
《临床泌尿外科杂志》
2003年第12期735-736,共2页
Journal of Clinical Urology
