摘要
目的分析经皮肾镜碎石术治疗复杂性肾结石术后结石残余的危险因素。方法回顾性分析2015年1月至2019年1月安徽医科大学第一附属医院泌尿外科收治的216例经皮肾镜碎石术治疗的复杂性肾结石患者的临床资料,根据复查结果分为无残余组(184例)和残余组(32例),通过单因素分析两组患者可能引起结石残余的相关因素,再通过多因素logistic回归分析结石残余的独立危险因素。结果216例患者中,总结石残余发生率为14.8%,通过单因素分析发现两组患者结石最大截面积、结石累计肾盏数目、既往结石手术史、先天性解剖结构异常、肾功能不全、术中出血并发症发生率比较,差异有统计学意义(P<0.05);多因素logistic分析显示,结石最大截面积、结石累计肾盏数目、先天性解剖结构异常、术中出血并发症是复杂性肾结石术后结石残余的独立危险因素(P<0.05)。结论复杂性肾结石术后结石残余由多种因素影响导致,最大截面积越大、结石累计肾盏数目越多、先天性解剖结构异常以及术中伴有出血并发症,术后结石残余的风险越高。
Objective To analyze the risk factors of residual stones after percutaneous nephrolithotomy for complicated renal calculi.Methods The clinical data of 216 patients with complicated renal stones treated by percutaneous nephrolithotomy in the Department of Urology,the First Affiliated Hospital of Anhui Medical University from January 2015 to January 2019 were retrospectively analyzed.The patients were divided into non-residual group and residual group,the related factors that may cause residual stones were firstly analyzed by univariate analysis,and statistically significant indicators were selected for multivariate logistic regression analysis to find independent risk factors for residual stones.Results Among the 216 patients collected,The incidence of stones residuals was 14.8%.The largest cross-sectional area of stones,the stones involve the number of calyces,previous stone surgery history,congenital anatomical abnormalities,renal insufficiency,intraoperative bleeding complications were associated with postoperative stones residuals(P<0.05);multivariate logistic analysis showed the largest cross-sectional area of stone,the stones involve the number of calyces,congenital anatomical abnormalities,complications of hemorrhage were independent risk factors for residual stones after complicated renal calculi(P<0.05).Conclu sions The residual stones after complicated renal calculi are caused by a variety of factors.The larger the maximum cross-sectional area,the more involved number of calyces,abnormalities and intraoperative bleeding complications may cause a higher risk of postoperative residual stones.
作者
龚宾宾
王建忠
徐雨辰
宋正尧
赵磊
樊松
梁朝朝
郝宗耀
GONG Binbin;WANG Jianzhong;XU Yucheng(Department of Urology Surgery,the First Affiliated Hospital of Anhui Medical University/Institute of Urology,Anhui Medical University/Anhui Province Key Laboratory of Genitourinary Diseases,Anhui Medical University,Hefei 230022,China)
出处
《安徽医学》
2019年第11期1193-1197,共5页
Anhui Medical Journal
基金
国家自然科学基金青年基金项目(项目编号:81500521)
关键词
经皮肾镜
输尿管软镜
复杂性肾结石
残石
危险因素
Percutaneous nephrolithotomy
Ureteroscopy
Complicated kidney stones
Residual stones
Risk factors
作者简介
通信作者:郝宗耀,haozongyao@163.com。
