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요로결석 환자에서 알부민에 대한 요시험지봉검사 양성 소견이 가지는 임상적 의의

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Author(s)
김태권송대규
Publication Year
2018
Keyword
AlbuminuriaHydronephrosisUrolithiasis
Abstract
Urolithiasis is suspected by flank pain, costovertebral angle tenderness,
and hematuria, and confirmed by computed tomography (CT). Treatment
strategy and likelihood of spontaneous passage of a stone were
determined by size and position of ureteral calculi and complication
detected by CT. In general, the purpose of urinalysis for urolithiasis is to
confirm the hematuria and pyuria. However, sometimes albumin is
detected by urine dipstick test in urolithiasis. Therefore, I performed this
study to investigate the clinical significance of urine dipstick positive for
albuminuria in urolithiasis. This study was a retrospective review of
medical records of 150 patients who visited the emergency department
and diagnosed with urolithiasis by CT between March 2010 and February
2014. The patients were divided into a albuminuria group and nonalbuminuria
group. General chracteristics, clinical features, laboratory
results, and CT findings were compared. The incidence of stones >5 mm
in diameter, hydronephrosis (≥grade 2) and upper ureter stone were
significantly higher in albuminuria group than non-albuminuria group. In
multivariate logistic regression analysis, hydronephrosis (≥grade 2) and
upper ureter stone were significantly associated with albuminuria. Upper
ureter stone and hydronephrosis (≥grade 2) are also known as predictors
for failure of spontaneous passage of ureter calculi. If further studies are
done, urine dipstick positive for albumin in urolithiasis can be used as a
predictor for failure of spontaneous passage of ureter calculi.
Alternative Title
Clinical Significance of Urine Dipstick Positive for Albuminuria in Urolithiasis
Department
Dept. of Physiology (생리학)
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.37(2) : 82-91-82-91, 2018
Type
Article
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/40365
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