经皮肾镜取石术患者术后结石残留的危险因素分析  

Analysis of risk factors for postoperative residual stones in patients undergoing percutaneous nephrolithotomy

作　　者：李霞 李丹 余毅英 LI Xia;LI Dan;YU Yiying(Department of Emergency Medicine,The First Affiliated Hospital of Jiangxi Medical College,Shangrao 334000,China;Customer Service Department,The First Affiliated Hospital of Jiangxi Medical College,Shangrao 334000,China;Operating Room,The First Affiliated Hospital of Jiangxi Medical College,Shangrao 334000,China)

机构地区：[1]江西医学高等专科学校第一附属医院急诊科,江西上饶334000 [2]江西医学高等专科学校第一附属医院客服部,江西上饶334000 [3]江西医学高等专科学校第一附属医院手术室,江西上饶334000

出　　处：《沈阳医学院学报》2023年第4期395-398,共4页Journal of Shenyang Medical College

摘　　要：目的:探讨经皮肾镜取石术(PCNL)患者术后结石残留的危险因素。方法:选择2019年10月至2021年12月我院收治的肾结石患者76例作为研究对象,患者均采用PCNL治疗,于术后5 d采用影像学检查评估患者术后结石残留情况并分组,采用Logistic回归分析影响PCNL患者术后结石残留的因素。结果:76例患者经检查,有18例出现结石残留,占23.68%;残留组鹿角型结石、先天解剖结构异常、结石手术史、结石负荷>1000 mm^(2)占比高于未残留组(P<0.05);Logistic回归分析结果显示,鹿角型结石(OR=21.364,95%CI:5.254~86.867)、先天解剖结构异常(OR=14.955,95%CI:4.114~54.361)、结石手术史(OR=4.940,95%CI:1.541~15.835)、结石负荷>1000 mm^(2)(OR=4.824,95%CI:1.556~14.953)是导致PCNL患者术后结石残留的危险因素(P<0.05)。结论:PCNL患者术后结石残留与鹿角型结石、先天解剖结构异常、结石手术史、结石负荷等因素有关,临床可据此进行针对性干预。Objective:To investigate the risk factors of postoperative residual stones in patients undergoing percutaneous nephrolithotomy(PCNL).Methods:A total of 76 patients with kidney stones admitted to our hospital from Oct 2019 to Dec 2021 were selected as research objects.All patients were treated with PCNL.Imaging examinations were performed to evaluate postoperative residual stones at the 5th day after surgery and the patients were divided into two groups,residual group and non-residual group.Logistic regression analysis was used to analyze the risk factors of postoperative residual stones.Results:There were 18 cases(23.68%)of 76 patients with residual stones.The proportion of antler stones,congenital anatomical abnormalities,stone operation history and stone load>1000 mm^(2) in residual group was higher than that in non-residual group(P<0.05).Logistic regression analysis showed that antler stones(OR=21.364,95%CI:5.254-86.867),congenital anatomical abnormalities(OR=14.955,95%CI:4.114-54.361),stone operation history(OR=4.940,95%CI:1.541-15.835),and stone load>1000 mm^(2)(OR=4.824,95%CI:1.556-14.953)were the risk factors for postoperative residual stones in PCNL patients(P<0.05).Conclusion:Postoperative residual stones in PCNL patients is related to antler stones,congenital anatomical abnormalities,stone operation history,stone load,so clinical targeted intervention should be carried out.

关 键 词：经皮肾镜取石术 术后结石残留 鹿角型结石 结石负荷 

分 类 号：R699.2[医药卫生—泌尿科学]