지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 988 - 993 (6page)
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초록· 키워드
오류제보하기
Purpose: Stone size and location are generally considered the most important factors associated with spontaneous ureter stone passage (SSP). Several parameters related to inflammatory changes have been identified as predictors associated with SSP. Our aim was to investigate the predictive role of neutrophil-to-lymphocyte ratio (NLR) for SSP.
Materials and Methods: A retrospective review was performed on 131 patients who were referred to the urology outpatient clinic and diagnosed with unilateral ureteral stones at our emergency department between July 2016 and December 2016. The presence of ureteral stones was confirmed with non-contrast-enhanced computed tomography (NCCT) for all patients. SSP was confirmed with either the patient collecting the stone during urination or by NCCT performed at 3 weeks from the first stone episode. Physical examination, urinalysis, complete blood count, serum chemistry and inflammatory markers, plain radiographs, and NCCT at initialpresentation were reviewed to analyze predictors of future SSP.
Results: Of 113 patients included for analysis, 90 (79.6%) passed their stones spontaneously. The SSP rates within 3 weeks accordingto the stone’s size (5–10 mm and ≤5 mm) were 62.2% and 88.2%, respectively. A lower stone location [odds ratio (OR), 11.54; p=0.001], smaller stone size (≤5 mm) (OR, 8.16; p=0.001), and NLR (<2.3) (OR, 9.03; p=0.003) were independent predictors of SSP.
Conclusion: Low NLR (<2.3) may predict SSP in patients with ureter stones <1.0 cm in size. Our results suggest that ureteral inflammationplays an important role in SSP. Early intervention may be considered for patients presenting with high NLR (≥2.3).
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Ahmed AF / 2015 / Factors predicting the spontaneous passage of a ureteric calculus of <10 mm / Arab J Urol 13 : 84 ~ 90
Aldaqadossi HA / 2013 / Stone expulsion rate of small distal ureteric calculi could be predicted with plasma C-reactive protein / Urolithiasis 41 : 235 ~ 239
Assasi N / 2015 / Comparative value of erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) testing in combination versus individually for the diagnosis of undifferentiated
Azab B / 2012 / Usefulness of the neutrophil-to-lymphocyte ratio in predicting short- and long-term mortality in breast cancer patients / Ann Surg Oncol 19 : 217 ~ 224
Azab B / 2014 / Average values and racial difference
Aldaqadossi HA / 2013 / Stone expulsion rate of small distal ureteric calculi could be predicted with plasma C-reactive protein / Urolithiasis 41 : 235 ~ 239
Assasi N / 2015 / Comparative value of erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) testing in combination versus individually for the diagnosis of undifferentiated
Azab B / 2012 / Usefulness of the neutrophil-to-lymphocyte ratio in predicting short- and long-term mortality in breast cancer patients / Ann Surg Oncol 19 : 217 ~ 224
Azab B / 2014 / Average values and racial difference
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응급실을 내원한 요관결석 환자에서 크기가 5 mm 이상인 집단과 5 mm 미만인 집단 간의 임상적 특성과 neutrophil-lymphocyte ratio, platelet lymphocyte ratio, C-reactive protein의 비교
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