经皮肾镜取石术治疗肾结石围手术期并发症的危险因素临床研究  

The clinical research of risk factors for postoperative complications after percutaneous nephrolithotomy

作　　者：赫俊会[1] 

机构地区：[1]山东省菏泽市立医院泌尿外科,274000

出　　处：《中国医师进修杂志》2016年第8期707-710,共4页Chinese Journal of Postgraduates of Medicine

摘　　要：目的：探讨经皮肾镜取石术（PCNL）治疗肾结石围手术期并发症的危险因素。方法回顾性分析2008-2015年行PCNL治疗的523例肾结石患者的临床资料，并对其进行统计分析，探讨PCNL治疗肾结石围手术期并发症的危险因素。结果523例患者中无术后并发症417例，有手术并发症106例，其中严重并发症患者25例。多因素Logistic回归分析结果显示，患者年龄（P=0.002）、既往有PCNL史（P=0.035）、有2种以上术前合并症（P=0.001）、鹿角形结石（P=0.031）和操作时间（P =0.000）与患者的并发症相关。有2种以上术前合并症（P=0.013）、通道个数（P=0.008）、操作时间（P=0.003）与患者术后严重并发症相关。结论患者年龄、既往有PCNL史、有2种以上术前合并症、鹿角形结石、操作时间及通道个数与PCNL治疗肾结石围手术期并发症和严重并发症有关。Objective To investigate risk factors for postoperative complications after percutaneous nephrolithotomy （PCNL） according to the modified Clavien scoring system. Methods The clinical data of 523 patients who underwent PCNL from 2008 to 2015 were retrospectively analyzed, and the risk factors of the complications of PCNL were analyzed. Results There were 417 patients without postoperative complications and 106 patients with postoperative complications, among whom 25 patients had major complications. After multivariate Logistic regression analysis, elder （P = 0.002）, previous PCNL （P=0.035）, two or more comorbidities （P=0.001）, staghorn calculi （P=0.031）, longer operative time （P = 0.000） had association with the postoperative complications. Two or more comorbidities （P =0.013）, multiple tracts （P=0.008）, and longer operative time （P=0.003） had association with the major postoperative complications. Conclusions Elder, previous PCNL, two or more comorbidities, staghorn calculi, multiple tracts, longer operative time have association with the major postoperative complications.

关 键 词：肾结石 肾造口术 经皮 手术后并发症 因素分析 统计学 

分 类 号：R699.2[医药卫生—泌尿科学]