摘要
目的分析影响输尿管结石患者体外冲击波碎石术疗效的因素,以为临床采取有效措施提供参考。方法选取2020年1月至12月我院接收的600例输尿管结石患者作为研究对象,均行体外冲击波碎石术治疗。分析手术疗效及上、中、下段输尿管结石患者的并发症发生情况,探讨影响输尿管结石患者体外冲击波碎石术疗效的因素。结果600例输尿管结石患者的单次体外冲击波碎石术治疗成功率为79.00%,126例患者结石未排出,其中40例经复震排出,30例经再次体外冲击波碎石术排出,56例经其他治疗方式排出。上、中、下段输尿管结石患者的发热、疼痛、血尿发生率比较,差异无统计学意义(P>0.05)。单因素分析结果显示,影响输尿管结石患者体外冲击波碎石术疗效的因素包括年龄≥60岁、男性、病程≥90 d、下段输尿管结石、结石直径≥10 mm、结石嵌顿(P<0.05)。多因素Logistic回归分析结果显示,年龄≥60岁、病程≥90 d、下段输尿管结石、结石直径≥10 mm是影响输尿管结石患者体外冲击波碎石术疗效的独立危险因素(P<0.05)。结论年龄≥60岁、病程≥90 d、下段输尿管结石、结石直径≥10 mm是影响输尿管结石患者体外冲击波碎石术疗效的独立危险因素,临床针对此类患者应加以重视。
Objective To analyze the factors influencing the efficacy of extracorporeal shock wave lithotripsy in patients with ureteral calculi,so as to provide reference for effective clinical measures.Methods A total of 600 patients with ureteral calculi received in our hospital from January to December 2020 were selected as the research objects,all of them were treated with extracorporeal shock wave lithotripsy;the surgical efficacy and the occurrence of complications of patients with upper,middle and lower ureteral calculi were analyzed.The factors influencing the efficacy of extracorporeal shock wave lithotripsy in patients with ureteral calculi was explored.Results The treatment success rate of single extracorporeal shock wave lithotripsy in 600 patients with ureteral calculi was 79.00%.In 126 patients,the stones were not discharged,of which 40 cases were discharged by reshock,30 cases were discharged by extracorporeal shock wave lithotripsy,and 56 cases were discharged by other treatment methods.There were no significant differences in the incidences of fever,pain and hematuria among patients with upper,middle and lower ureteral calculi(P>0.05).Univariate analysis results showed that the factors influencing the efficacy of extracorporeal shock wave lithotripsy in patients with ureteral calculi included age≥60 years,male,disease course≥90 d,lower ureteral calculi,stone diameter≥10 mm,and stone incarceration(P<0.05).Multivariate Logistic regression analysis results showed that age≥60 years,disease course≥90 d,lower ureteral calculi and stone diameter≥10 mm were independent risk factors influencing the efficacy of extracorporeal shock wave lithotripsy in patients with ureteral calculi(P<0.05).Conclusion Age≥60 years,disease course≥90 d,lower ureteral calculi and stone diameter≥10 mm were independent risk factors influencing the efficacy of extracorporeal shock wave lithotripsy in patients with ureteral calculi,which should be paid attention to clinically.
作者
郭吉军
熊大波
GUO Jijun;XIONG Dabo(Yan'an People's Hospital,Yan'an 716000,China)
出处
《临床医学研究与实践》
2022年第20期50-53,共4页
Clinical Research and Practice
关键词
体外冲击波碎石术
输尿管结石
疗效
extracorporeal shock wave lithotripsy
ureteral calculi
efficacy
