经皮肾镜取石术后泌尿系感染病人结石复发的相关因素分析

doi:10.3969/j.issn.1003-9198.2021.09.010

摘要/Abstract

摘要： 目的分析经皮肾镜取石术后泌尿系感染病人结石复发的相关因素。方法选取2016年8月至2018年8月我院收治的70例经皮肾镜取石术治疗的老年肾结石术后发生泌尿系感染的病人,随访2年,统计结石复发率,比较复发病人和未复发病人的基本资料,采用多因素Logistic回归分析确定影响经皮肾镜取石术后泌尿系感染病人结石复发的独立危险因素。结果随访2年,共有16例病人结石复发,复发率为23.19%。2组性别、合并症、病变范围、肾积水、感染类型的构成比,以及术前血清肌酐水平、术前尿素氮水平、手术时间、住院时间比较,差异均无统计学意义(P>0.05);2组年龄、结石成分、术前尿常规白细胞、内分泌疾病史、手术清石率及术前24 h尿量比较,差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示,年龄>70岁、感染性结石、术前尿常规白细胞“+++”、内分泌疾病史、手术清石率≤80%均是影响经皮肾镜取石术后泌尿系统感染病人结石复发的独立危险因素。结论年龄>70岁、感染性结石、术前尿常规白细胞“+++”、内分泌疾病史、手术清石率≤80%均是影响经皮肾镜取石术后泌尿系感染病人结石复发的独立危险因素,应加强防治。

关键词: 经皮肾镜取石术, 老年人, 肾结石, 泌尿系感染, 结石复发

Abstract: Objective To analyze the related factors of the recurrence of stones in the patients with urinary system infection after percutaneous nephrolithotomy. Methods A total of 70 elderly patients with urinary tract infection after percutaneous nephrolithotomy in our hospital from August 2016 to August 2018 were enrolled. The patients were followed up for 2 year, and the stone recurrence rate was counted.The basic data of the patients with relapse and those without relapse were compared. Logistic multivariate analysis was used to determine the independent risk factors affecting the recurrence of stones in the patients with urinary system infection after percutaneous nephrolithotomy. Results After 2 year of follow-up, 16 patients had relapse of stone, with the recurrence rate of 23.19%. There were no statistically significant differences in composition ratio of gender, complications, extent of disease, hydronephrosis,types of infection, and the levels of preoperative serum creatinine, preoperative urea nitrogen, operation time, and hospital stay between the two groups (P>0.05).There were significant differences in age, chemical components of kidney stone, preoperative urine white blood cell, history of endocrine diseases,surgical stone clearance rate, and 24-hour urine volume before operation between the two groups (P<0.05). Logistic multivariate analysis showed that age> 70 years old, infectious stones, preoperative urine routine white blood cells "+++", history of endocrine diseases and surgical stone clearance rate≤80% were independent risk factors that affected the recurrence of stones in the patients with urinary system infection after percutaneous nephrolithotomy. Conclusions Age> 70 years old, infectious stones, and preoperative urine white blood cells "+++", history of endocrine diseases, surgical stone clearance rate≤80% are independent risk factors that affect the recurrence of stones in the patients with urinary system infection after percutaneous nephrolithotomy.

Key words: percutaneous nephrolithotomy, aged, kidney stones, urinary tract infection, stone recurrence

中图分类号:

R 692.4

李国平, 李道源, 刘元晓, 康新立. 经皮肾镜取石术后泌尿系感染病人结石复发的相关因素分析[J]. 实用老年医学, 2021, 35(9): 931-934.

LI Guo-ping, LI Dao-yuan, LIU Yuan-xiao, KANG Xin-li. Related factors of the recurrence of stones in patients with urinary system infection after percutaneous nephrolithotomy[J]. Practical Geriatrics, 2021, 35(9): 931-934.

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