首页|肾结石腔内碎石术后结石复发率及危险因素分析

肾结石腔内碎石术后结石复发率及危险因素分析

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目的 探讨肾结石腔内碎石术后结石复发的发生率及危险因素.方法 回顾性收集接受腔内碎石手术治疗的190例肾结石患者的临床资料,根据术后2年随访过程中CT、泌尿系彩超或泌尿系平片检查结果明确有无结石复发,采用单因素及多因素Logistic回归分析探讨结石复发的危险因素.结果 190例患者中,49例患者术后2年内出现结石复发,复发率为25.79%.单因素Logistic回归分析显示,体质量指数(BMI)、糖尿病、吸烟、年龄和高血压是结石复发的影响因素.多因素Logistic回归分析显示,糖尿病和吸烟是结石复发的危险性因素,而年龄大和高血压是结石复发的保护性因素.结论 肾结石腔内碎石术后结石复发较为常见,糖尿病和吸烟是结石复发的危险性因素,而年龄大和高血压是结石复发的保护性因素.
Analysis of the recurrence rate and risk factors of renal calculi after intracavitary lithotripsy
Objective To investigate the incidence and risk factors of recurrence of renal calculi after intracavitary lithotripsy.Methods The clinical data of 190 patients with renal stones who un-derwent endoluminal lithotripsy in our hospital were retrospectively collected.Based on the results of CT,B-ultrasound,or X-ray examination of the urinary system during the 2-year follow-up period,therecurrence of renal calculi was analyzed.Univariate and multivariate Logistic regression were used to analyze the risk factors of stone recurrence.Results of 190 patients,49 patients experienced stone recurrence within 2 years after surgery,with a recurrence rate of 25.79%.Univariate Logistic regression analysis showed that body mass index(BMI),diabetes,smoking,older age and hyperten-sion were protective factors for stone recurrence.Multivariate Logistic regression analysis showed that diabetes and smoking were risk factors for stone recurrence,while age and hypertension were protec-tive factors for stone recurrence.Conclusion The recurrence of renal stone after intracavitary litho-tripsy is common.Diabetes and smoking are risk factors for the recurrence of renal stone,while older age and hypertension are protective factors.

kidney stoneintracavitary lithotripsyrecurrencerisk factorsprotective factorminimally invasive surgery

顾鑫、景立伟、王岸迪、刘俊、代永强、张宝岭

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河北省沧州中西医结合医院泌尿外二科,河北 沧州,061000

肾结石 腔内碎石取石术 复发 危险因素 保护因素 微创手术

河北省卫生计生委医学科学研究重点课题(2018)

20180973

2024

实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
年,卷(期):2024.28(10)
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