Mahmud Huma Mamun, Mahmud Syed Mamun
Dr. HumaMamun Mahmud, MCPS (Medicine), F.C.P.S (Nephrology). Department of Nephrology, Life Care Hospital Musaffah, Abudhabi, UAE. Visiting Faculty, South Asian Institute of Urology and Nephrology (SAIUN), Suite No. 603, 6 Floor Al Khaleej Tower, Shaheede-Millat Road, Karachi, Pakistan.
Dr. Syed Mamun Mahmud, FCPS(Urology), FEBU. Department of Urology, Life Care Hospital Musaffah, Abudhabi, UAE. Visiting Faculty, South Asian Institute of Urology and Nephrology (SAIUN), Suite No. 603, 6 Floor Al Khaleej Tower, Shaheede-Millat Road, Karachi, Pakistan.
Pak J Med Sci. 2017 Jul-Aug;33(4):808-812. doi: 10.12669/pjms.334.13345.
To analyze acute kidney injury (AKI) frequency, risk factors and outcome in ureteric stone patients.
This is an observational retrospective study performed in a single tertiary care centre in Abu Dhabi from October 2014 till August 2015. Convenient sampling was done on 152 consecutive patients who underwent decompression surgery (Ureterorenoscopy LASER Lithotripsy and DJ Stenting) for ureteric stones. Serum Creatinine was used to calculate creatinine clearance by cock croft Gault formula in all patients before and after procedure. Analysis was done on SPSS version 17.
Out of 152 patients who under went decompression surgical procedure for ureteric stones AKI was seen in 49(32.2%). Patients with AKI were found to be more higher age, increasedweight, bilateral stones, lower ureteric stones and with co morbidities in comparison to those who were without acute kidney injury. Patients developing AKI, 89.7% recovered either partially(20.4 %) or completely (69.3%).
AKI is seen more in ureteric stone patients with older age, increased weight, bilateral stones, lower ureteric stones and with co morbidities. Recovery is good when obstruction is relieved.
分析输尿管结石患者急性肾损伤（AKI）的发生率、危险因素及预后。
这是一项在阿布扎比一家三级医疗中心于2014年10月至2015年8月进行的观察性回顾性研究。对152例连续接受输尿管结石减压手术（输尿管镜激光碎石术和DJ支架置入术）的患者进行便利抽样。在所有患者手术前后，采用血清肌酐通过Cockcroft Gault公式计算肌酐清除率。使用SPSS 17版进行分析。
在152例接受输尿管结石减压手术的患者中，49例（32.2%）出现AKI。与未发生急性肾损伤的患者相比，发生AKI的患者年龄更大、体重增加、双侧结石、输尿管下段结石且合并其他疾病。发生AKI的患者中，89.7%部分（20.4%）或完全（69.3%）恢复。
年龄较大、体重增加、双侧结石、输尿管下段结石且合并其他疾病的输尿管结石患者更易发生AKI。梗阻解除后恢复良好。
