影响上尿路结石清除效果的相关因素分析  

Analysis of Related Factors Influencing the Effect of Upper Urinary Rract Stone Removal

作　　者：李炜[1] 何林芮 罗雄 贾其磊[2] LI Wei;HE Linrui;LUO Xiong(Bazhong Central Hospital,Sichuan Bazhong 636600,China)

机构地区：[1]四川省巴中市中心医院泌尿外科,四川巴中636600 [2]四川省成都市青白江区人民医院泌尿外科,四川成都610300

出　　处：《河北医学》2021年第12期2014-2018,共5页Hebei Medicine

基　　金：四川省卫生和计划生育委员会科研课题项目,(编号:18PJ463)。

摘　　要：目的:探讨影响上尿路结石患者结石清除效果的相关因素,为临床治疗提供参考。方法:回顾性分析我院2018年5月至2020年5月期间收治的217例上尿路结石患者,根据结石清除情况分为两组,即成功组(n=165,清除成功),失败组(n=52,清除失败),用二元Logistic回归分析影响患者清除的因素。结果:经二元Logistic回归分析,结石长度>2cm、CT>750HU、肾积水中度状态、多个结石、BMI≥24kg/m^(2)是清除结石率的独立影响因素,病程属于可疑因素(P<0.05)。结论:结石数量、结石长度、BMI、病程、CT值、肾积水情况是影响一次性清除结石率的重要因素。故需根据患者当下实际情况,合理选择微创手术,做好手术适应症筛查,从而有效提高一次性清除结石率,减少再次手术风险。Objective:To explore the related factors that affect the effect of stone removal in patients with upper urinary tract stones,in order to provide reference for clinical treatment.Methods:A retrospective analysis of 217 patients with upper urinary tract stones admitted to our hospital from May 2018 to May 2020 were divided into two groups according to the stone removal effect,namely the success group(n=165,removal success)and the failure group(N=52,clearance failure),and the factors affecting patient clearance were analyzed by binary Logistic regression.Results:After binary logistic regression analysis,the stone length>2cm,CT value>750HU,hydronephrosis state,multiple stones,BMI≥24kg/m^(2) are independent factors influencing the stone removal rate,and the course of the disease is a suspicious factor(P<0.05).Conclusion:The number of stones,length of stones,BMI,course of disease,CT value,and hydronephrosis are important factors affecting the rate of one-time removal of stones.Therefore,it is necessary to reasonably choose minimally invasive surgery according to the actual situation of the patient,and do a good job of screening for surgical indications,so as to effectively increase the rate of one-time stone removal,reduce the risk of reoperation,and have high safety and worthy of clinical promotion.

关 键 词：上尿路结石 一次性结石清除 影响因素 

分 类 号：R699[医药卫生—泌尿科学]