实用临床医药杂志2024,Vol.28Issue(10) :39-41.DOI:10.7619/jcmp.20232864

肾结石腔内碎石术后结石复发率及危险因素分析

Analysis of the recurrence rate and risk factors of renal calculi after intracavitary lithotripsy

顾鑫 景立伟 王岸迪 刘俊 代永强 张宝岭
实用临床医药杂志2024,Vol.28Issue(10) :39-41.DOI:10.7619/jcmp.20232864

肾结石腔内碎石术后结石复发率及危险因素分析

Analysis of the recurrence rate and risk factors of renal calculi after intracavitary lithotripsy

顾鑫 1景立伟 1王岸迪 1刘俊 1代永强 1张宝岭1
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作者信息

  • 1. 河北省沧州中西医结合医院泌尿外二科,河北 沧州,061000
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摘要

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.

Abstract

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.

关键词

肾结石/腔内碎石取石术/复发/危险因素/保护因素/微创手术

Key words

kidney stone/intracavitary lithotripsy/recurrence/risk factors/protective factor/minimally invasive surgery

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基金项目

河北省卫生计生委医学科学研究重点课题(2018)(20180973)

出版年

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
参考文献量5
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