摘要
目的评估不同体质指数(BMI)对于输尿管软镜(F-URS)钬激光碎石术治疗肾结石疗效的影响。方法回顾性分析华中科技大学同济医学院附属荆州医院2011年3月—2014年8月行F-URS钬激光碎石术治疗的68例肾结石患者的临床资料。根据BMI将患者分为3组,即轻体质量组(BMI<18.5 kg/m^2,29例)、正常体质量组(BMI 18.5~<25.0 kg/m^2,20例)、超体质量组(BMI≥25.0 kg/m^2,19例)。观察并比较3组患者手术时间、术后住院时间、近期结石清除率(SF)、远期SF、是否需二次手术、是否有并发症(发热、血尿、肾绞痛、石街)。结果 68例患者均手术成功。3组患者手术时间、术后住院时间、近期SF、远期SF、是否需二次手术、发热、血尿、肾绞痛、石街发生率比较,差异无统计学意义(P>0.05)。结论 BMI对于F-URS钬激光碎石术治疗肾结石疗效无影响。
Objective To determine the influence of body mass index （BMI） on the curative effect of flexible ureterorenoscopy （ F - URS ） with holmium laser. Methods The study retrospectively analyzed the data from 68 patients with renal calculi who underwent flexible ureterorenoscopy with holmium laser in Jingzhou Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Techology from March 2011 to August 2014. According to BMI, divided the patients into three groups： light weight group （BMI 〈 18.5 kg/m2 , n = 29）, normal weight group （BMI 18.5 - 〈 25.0 kg/m2, n = 20） , overweight group （BMI≥25.0 kg/m2 , n = 19） . Comparison was made among the three groups in the duration of surgery, length of hospital stay after surgery, near - term SF, long - term SF, whether second surgery was needed and whether complications （fever, hematuresis, renal colic and steinstrasse） occurred. Results All 68 operations were performed successfully. The three groups were not significantly different （ P 〉 0. 05 ） in the duration of surgery, length of hospital stay after sm＇gery, near - term SF, long-term SF, whether second surgery was needed and the incidence rate of fever, hematuresis, renal colic and steinstrasse. Conclusion BMI has no influence on the curative effect of F - URS with holmium laser.
出处
《中国全科医学》
CAS
CSCD
北大核心
2016年第3期300-303,共4页
Chinese General Practice
