输尿管软镜钬激光碎石术治疗输尿管上段结石并发输尿管狭窄的危险因素分析

王俊; 郭志新; 吴洪磊; 余晓; 卢山海; 关天佑

doi:10.13201/j.issn.1001-1420.2018.07.007

输尿管软镜钬激光碎石术治疗输尿管上段结石并发输尿管狭窄的危险因素分析

- 驻马店市中医院外三科(河南驻马店, 463000)

详细信息

通讯作者: 郭志新,E-mail:927505114@qq.com

中图分类号: R693

收稿日期: 2017-12-07

Analysis of risk factors of ureteral stricture after flexible ureteroscopic holmium laser lithotripsy for the treatment of proximal ureteral calculi

- Department of Surgery Ⅲ, Zhumadian Hospital of Traditional Chinese Medicine,, Zhumadian, Henan, 463000, China

More Information

Corresponding author: GUO Zhixin, E-mail: 927505114@qq.com

Received Date: 07 December 2017

摘要

摘要: 目的:探讨输尿管软镜钬激光治疗输尿管上段结石后引起输尿管狭窄的危险因素。方法:回顾性分析我院2014年2月~2016年8月行输尿管软镜钬激光碎石治疗的168例输尿管上段结石患者的临床资料。根据术后随访结果将患者分为输尿管狭窄组和非狭窄组,先对两组患者的临床资料进行单因素分析,然后进行Logistic多因素回归分析。结果:168例患者术后随访12个月,术后出现输尿管狭窄的患者有10例,狭窄发生率为5.95%。单因素分析结果显示:病程、结石直径、结石嵌顿、输尿管损伤及手术时间5个因素与输尿管软镜碎石术后输尿管狭窄的发生有关,差异有统计学意义(P<0.05)。对上述具有统计学意义的因素进行多因素Logistic回归分析,结果显示病程、结石直径、结石嵌顿以及输尿管损伤是输尿管软镜碎石术后发生输尿管狭窄的独立危险因素(P<0.05)。结论:病程长、结石直径大、合并结石嵌顿及输尿管损伤的患者行输尿管软镜钬激光碎石术后发生输尿管狭窄的风险较高。术前应充分评估患者病情,术中注意操作技巧及术后尽早预防。
- 输尿管软镜 /
- 钬激光 /
- 输尿管上段结石 /
- 输尿管狭窄
Abstract: Method:To evaluate the risk factors of ureteral stricture after flexible ureteroscopic holmium laser lithotripsy for proximal ureteral calculi.Method:We retrospectively analyzed the clinical data of 168 patients with proximal ureteral stones who underwent flexible ureteroscopic holmium laser lithotripsy from February 2014 to August 2016.According to the follow-up results, the patients were divided into restenosis group and non-stenosis group.All indexes were analyzed with univariate analysis and logistic multivariate regression.Result:During the follow-up period of 12 months after operation, 10 of 168 cases developed ureteral stricture, which the incidence was 5.95%.Univariate analysis showed that the course of disease, stone size, stone incarceration, ureter injury and operation time were associated with ureteral stricture (P<0.05).Multivariate logistic regression analysis showed that the course of disease, stone size, stone incarceration, ureter injury were the independent risk factors (P<0.05).Conclusion:The patients with long duration of disease, larger diameter stone, stone incarceration and ureter injury were more likely to develop ureteral stenosis after flexible ureteroscopic holmium laser lithotripsy, so full preoperative evaluations, improvement of surgical skills and prevention as early as possible after operation should be considered.
- flexible ureteroscopy /
- holmium laser /
- proximal ureteral calculi /
- ureteral stricture

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