摘要
目的观察经皮肾镜碎石取石术(PCNL)治疗泌尿系结石的临床疗效及术后复发的危险因素。方法选择我院2012年7月~2019年4月160例行PCNL患者的临床资料,收集患者年龄、性别、病例分型、诊断、麻醉方式、切口类型、愈合情况、住院时长和术后愈合情况。采用Logistic回归分析术后结石复发的危险因素。结果160例患者中肾积水伴肾结石60例(37.50%)、肾积水伴输尿管结石35例(21.87%)、单纯肾结石41例(25.67%)、其他类型泌尿系结石24例(15.00%);男女比例为1∶0.8,2017年及以后,女性手术患者增加的幅度大于男性,均为二类切口,甲级愈合。不同疾病类型的患者住院时间比较,差异有统计学意义(P<0.05);年龄是结石复发的危险因素(OR=1.058,95%CI:1.017~1.099)。结论经皮肾镜取石术治疗泌尿系结石疗效确切,患者预后良好,肾积水伴肾结石/输尿管结石的患者住院时间较单纯肾结石患者长,高龄患者应作为结石复发的重点预防群体。
Objective To investigate the clinical efficacy of percutaneous nephrolithotomy(PCNL)in the treatment of urinary calculi and the risk factors for postoperative calculi recurrence.Methods The clinical data of 160 patients with PCNL from July 2012 to April 2019 in our hospital were selected.The age,sex,case classification,diagnosis,anesthesia,type of incision,healing,length of hospital stay and postoperative healing were collected.Logistic regression was used to analyze the risk factors of postoperative calculi recurrence.Results Among the 160 patients,60 cases(37.50%)had hydronephrosis with renal stones,35 cases(21.87%)with hydronephrosis and ureteral stones,41 cases(25.67%)with simple kidney stones,and 24 cases of other types of urinary stones(15.00%);male to female ratio is 1:0.8,2017 and beyond,the increase in female surgical patients is greater than that of males,both of which are type II incisions,grade A healing.The difference in hospitalization time between patients with different disease types was statistically significant(P<0.05);age was a risk factor for stone recurrence(OR=1.058,95%CI:1.017~1.099).Conclusion Percutaneous nephrolithotomy is effective in the treatment of urinary calculi.The prognosis is good.The hospitalization time of patients with hydronephrosis and kidney stones/ureteral calculi is longer than that of patients with simple kidney stones.Older patients should be the key prevention group for stone recurrence.
作者
肖戈
尹杰
林靖波
陈向新
何国伟
陈清标
吴亚斌
XIAO Ge;YIN Jie;LIN Jing-bo;CHEN Xiang-xin;HE Guo-wei;CHEN Qing-biao;WU Ya-bin(Department of Urology,the Second People's Hospital of Foshan,Foshan 528000,Guangdong,China;Department of Anesthesiology,the Second People's Hospital of Foshan,Foshan 528000,Guangdong,China)
出处
《医学信息》
2019年第21期98-100,共3页
Journal of Medical Information
基金
佛山市自筹经费类科技计划项目(编号：2017AB002851)
关键词
经皮肾镜取石术
泌尿系结石
复发
危险因素
Percutaneous nephrolithotomy
Urinary calculi
Recurrence
Risk factors
