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首页> 外文期刊>Open Journal of Nephrology >Morphological and Structural Study of Native Kidneys in Chronic Kidney Disease Patients on Dialysis Compared to Non-Dialysis Patients
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Morphological and Structural Study of Native Kidneys in Chronic Kidney Disease Patients on Dialysis Compared to Non-Dialysis Patients

机译：与非透析患者相比，慢性肾病患者天然肾的形态学与结构研究

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Whether on dialysis or not, native kidneys in chronic kidney disease (CKD) patients undergo morphological and structural changes. Objective: To study native kidney morphometric and structural aspects in CKD patients on dialysis and non-dialysis patients. Methods: It was a descriptive, analytical, and cross-sectional study conducted from May to December 2018. The study enrolled CKD patients on dialysis or not followed at CNHU-HKM in Cotonou. Renal ultrasound was performed to locate cysts and uroscanner completed in the presence of atypical cysts. Through logistic regression, associated factors were determined. Results: The sample size was 240 patients, of which 151 (62.9%) were receiving dialysis and 89 (37.1%) non-dialysis patients. Male subjects were predominant (sex ratio = 1.5). The average size of the right kidney, expressed in mm in patients on dialysis was: pole-to-pole length = 78.56; width = 42.06; cortical thickness = 11.80; and the left kidney: pole-to-pole length = 79.76; width = 41.53; cortical thickness = 12.6. For non-dialysis patients, the following size was recorded for the right kidney: pole-to-pole length = 92.35; width = 47.61; cortical thickness = 15.64; and left kidney: length = 92.13; width = 47.82; cortical thickness = 15.43. Predictive factors for the occurrence of acquired renal cysts were: old age (p = 0.0001), dialysis (p < 0.001) and diabetic nephropathy (p = 0.0014). Conclusion: CKD patients on dialysis have small kidneys and are more likely to develop acquired renal cysts. There is a need to carry out an annual ultrasound screening for native kidneys in patients receiving dialysis.
机译：无论是否在透析与否，慢性肾病（CKD）患者的原生肾脏经历形态和结构性变化。目的：研究CKD患者肾上腺素和结构方面的透析和非透析患者。方法：这是从5月到2018年12月进行的描述性，分析和横截面研究。该研究在Cotonou的CNHU-HKM中注册了透析患者的CKD患者。进行肾超声以定位囊肿和Uroscanner在非典型囊肿的存在下完成。通过逻辑回归，确定相关因素。结果：样品尺寸为240名患者，其中151例（62.9％）接受透析和89例（37.1％）非透析患者。男性受试者是主要的（性别比率= 1.5）。右肾的平均尺寸为透析患者的MM表达：极点杆长度= 78.56;宽度= 42.06;皮质厚度= 11.80;左肾：杆到极长度= 79.76;宽度= 41.53;皮质厚度= 12.6。对于非透析患者，右肾的尺寸为右肾：极点长度= 92.35;宽度= 47.61;皮质厚度= 15.64;左肾：长度= 92.13;宽度= 47.82;皮质厚度= 15.43。出现肾囊肿发生的预测因素是：较老年（P = 0.0001），透析（P <0.001）和糖尿病肾病（P = 0.0014）。结论：CKD透析患者具有小肾脏，更有可能开发获得的肾囊肿。需要对接受透析患者的患者进行年度超声波筛查。

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