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

作　　者：顾鑫[1] 景立伟[1] 王岸迪 刘俊 代永强 张宝岭 Xin;JING Liwei;WANG Andi;LIU Jun;DAI Yongqiang;ZHANG Baoling(the Second Department of Urological Surgery,Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine of Hebei Province,Cangzhou,Hebei,061000)

机构地区：[1]河北省沧州中西医结合医院泌尿外二科,河北沧州061000

出　　处：《实用临床医药杂志》2024年第10期39-41,共3页Journal of Clinical Medicine in Practice

基　　金：河北省卫计委2018年度医学科学研究重点课题项目(20180973)。

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。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 underwent 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 hypertension 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 protective factors for stone recurrence.Conclusion The recurrence of renal stone after intracavitary lithotripsy 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 

分 类 号：R692.4[医药卫生—泌尿科学] R699.2[医药卫生—外科学]