摘要
目的:探讨上尿路结石继发肾积脓的危险因素,并构建预测模型。方法:回顾性分析2017年1月-2020年1月于我院确诊为上尿路结石合并肾积脓与不伴肾积脓患者的临床资料,对可能引起肾积脓的病因先行单因素分析,再对有统计学意义的指标行多因素Logistic分析。结果:175例上尿路结石患者中有24例(13.7%)合并肾积脓。多因素Logistic回归分析显示,糖尿病、同侧泌尿手术史、中度至重度肾积水、鹿角形结石、发热史、血清C反应蛋白(CRP)及降钙素原(PCT)水平是上尿路结石继发肾积脓的独立危险因素。结论:糖尿病、同侧泌尿手术史、中度至重度肾积水、鹿角形结石、发热史、血清CRP及PCT水平是上尿路结石继发肾积脓的独立危险因素。
Objective: To explore the risk factors of secondary pyonephrosis in upper urinary calculi and construct a predictive model. Method: We retrospectively analysed the clinical data of the patients with upper urinary calculi with pyonephrosis and non-pyonephrosis in Second Hospital of Tianjin Medical University from January 2017 to January 2020. Then the multivariate logistic analysis was performed on the statistically significant indexes. Result: Twenty-four(13.7%) of 175 patients with upper urinary calculi were found pyonephrosis. Multivariate logistic regression analysis showed that diabetes mellitus, history of ipsilateral urology, moderate to severe hydronephrosis, staghorn renal stone, fever history, serum CRP and PCT levels were independent risk factors for secondary pyonephrosis of upper urinary calculi. Conclusion: Diabetes mellitus, history of ipsilateral urology, moderate to severe hydronephrosis, staghorn renal stone, fever history, serum CRP and PCT levels are independent risk factors for secondary pyonephrosis of upper urinary calculi.
作者
聂德新
陈龙龙
谢兵山
张天晓
王兴羽
陈岳
张志宏
齐士勇
NIE Dexin;CHEN Longlong;XIE Bingshan;ZHANG Tianxiao;WANG Xingyu;CHEN Yue;ZHANG Zhihong;QI Shiyong(Department of Urology,Second Hospital of Tianjin Medical University,Tianjin,300211,China)
出处
《临床泌尿外科杂志》
2020年第9期688-691,695,共5页
Journal of Clinical Urology
基金
天津市科技重大专项(No:17ZXMFSY00060)。
关键词
上尿路结石
肾积脓
危险因素
多因素分析
upper urinary calculi
pyonephrosis
risk factors
multivariate analysis
