NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN CÓ SỎI THẬN TÁI PHÁT

Abstract

Objectives: To study the clinical and subclinical characteristics of patients with recurrent kidney stones. Methods: Cross-sectional description. Results: Main clinical symptoms: 97.3% of patients had symptoms of low back pain. Hematuria was 17.3%; renal colic was 6.7%; Stone position on imaging: complex kidney stones was 22.7%, pyelonephritis was 34.7%, upper calyces was 16.0%, lower calyces was 13.3%, middle calyces was 13.3%; Stone size on imaging: The average size of stones on imaging was 24.9 ± 9.6mm, the smallest was 11mm and the largest was 57mm; Number of stones on imaging: 13/75 patients (13.7%) had 1 stone, 45/75 patients (60.0%) had three or more stones; Gravel surface area: The average gravel surface area was 275.7 ± 47.3 mm2, the smallest was 43 mm2, the largest was 619 mm2; The degree of dilatation of renal calyces on computed tomography: non-dilated renal calyces was 16.0%, grade I dilatation was 41.3%, grade II dilatation was 29.3%, grade III dilatation was 10.7 %, Grade IV stretch was 2.7%; Blood count test results: the average red blood cell count was 4.7 ± 0.5 T/l, the lowest was 3.2 T/l and the highest is 6.0 T/l. The percentage of Hematocrit was 42.9 ± 6.5 % and Hemoglobin was 142.5 ± 15.6 g/l. Conclusion: Research results show that low back pain is the most common symptom in recurrent kidney stone disease (97.3%). The average stone size was 24.9 ± 9.6mm, with group II renal dilatation was the highest with 30.3%. The proportion of patients with 3 stones was 60.0%.