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目的探讨并分析Stanford A型和Stanford B型主动脉夹层术前尿常规检验结果。方法收治Stanford A型主动脉夹层患者72例和Stanford B型主动脉夹层患者97例,测定尿糖、尿酮体、尿蛋白、尿胆红素、尿胆原、尿潜血、尿白细胞、镜检白细胞、镜检红细胞、镜检尿道上皮、镜检管型、镜检结晶。结果 Stanford A型与Stanford B型主动脉夹层组术前尿常规指标中尿糖阳性率[26.39%vs 26.80%],尿酮体阳性率[25.00%vs 25.77%],尿蛋白阳性率[41.67%vs 32.99%],尿胆红素阳性率[5.56%vs 3.09%],尿胆原阳性率[15.23%vs 14.58%],尿潜血阳性率[41.67%vs 32.99%],差异均无显著性(P>0.05)。镜检结果提示镜检白细胞异常率[26.39%vs 7.21%],红细胞异常率[26.39%vs 10.31%]Stanford A型主动脉夹层高于Stanford B型主动脉夹层,差异具有显著性(P<0.01)。镜检上皮细胞异常率[12.50%vs 6.19%],镜检管型异常率[8.33%vs 6.19%],镜检结晶异常率[5.56%vs 2.06%],两组差异无显著性(P>0.05)。结论 Stanford A型主动脉夹层术前尿常规镜检白细胞异常率以及镜检红细胞异常率高于Stanford B型主动脉夹层,差异具有显著性,全身炎症反应综合征和主动脉夹层自身解剖特点是引起主动脉夹层尿常规异常的主要原因。
Objective To investigate and analyze the preoperative urine routine test results of Stanford Type A and Stanford B aortic dissections. Methods A total of 72 patients with Stanford type A aortic dissection and 97 patients with Stanford type B aortic dissection were enrolled in this study. Urinary glucose, urine ketone bodies, urine protein, urinary bilirubin, urobilinogen, urine occult blood, urine leukocytes, Microscopic examination of red blood cells, microscopic urethra, microscopic tube, microscopic examination. Results The urinalysis positive rate [26.00% vs 25.77%], urine protein positive rate [26.39% vs 26.80%], urinary protein positive rate [41.67% vs 32.99%] were significantly higher in preoperative urine samples of Stanford type A and Stanford type B aortic dissection group %], Positive rate of urinary bilirubin [5.56% vs 3.09%], positive rate of urinary gallbladder (15.23% vs 14.58%), positive rate of urinary occult blood [41.67% vs 32.99%], 0.05). The results of microscopic examination showed that the abnormal leucocyte rate was significantly higher than that of Stanford type A aortic dissection (26.39% vs 7.21%, 26.39% vs 10.31%, P <0.01) ). The abnormal rate of microscopic examination of epithelial cells [12.50% vs 6.19%], the abnormal rate of microscopic tube (8.33% vs 6.19%) and the abnormal rate of microscopic examination (5.56% vs 2.06%) were not significantly different between the two groups (P> 0.05). Conclusion Preoperative urine samples of Stanford type A aortic dissection with abnormal leucocyte abnormalities and abnormal erythrocyte abnormalities were significantly higher than those of Stanford type B aortic dissections. The difference was significant. The systemic inflammatory response syndrome and autonomic dissection characteristics of aortic dissection Aortic dissection urine abnormalities the main reason.