论文部分内容阅读
目的:探究影响体外冲击波碎石治疗肾结石临床疗效的因素。方法:随机选取2012年9月至2015年9月在本院进行体外冲击波碎石治疗的120例肾结石患者最为本次研究的调查分析对象,回顾性分析本组患者临床资料,术后随访观察3个月时间,并通过腹部平片以及CT扫描判断手术成功与否,并将其分成成功组和失败组,对比两组基本信息,综合分析导致手术失败的影响因素。结果:120例患者中有81例手术成功,39例失败,统计分析发现导致手术失败可能有患者的年龄、结石大小和部位以及是否伴发肾积水等,经Logistic多因素回归分析发现其主要因素为皮肤到结石的距离以及结石的密度,并且是两个独立危险因素。结论:研究表示,导致肾结石患者体外冲击波碎石治疗失败的主要危险因素是结石的密度、大小以及结石与皮肤的距离,这两个因素可以作为预测手术能否成功的指标。
Objective: To explore the factors affecting the clinical efficacy of extracorporeal shock wave lithotripsy in the treatment of kidney stones. Methods: The 120 cases of kidney stones treated by ESWL in our hospital from September 2012 to September 2015 were selected randomly for the investigation and analysis. The clinical data of this group were retrospectively analyzed and followed up for follow-up 3 months, and through the abdominal plain film and CT scan to determine the success of the operation, and divided into two groups of successful and failure groups, basic information, comprehensive analysis of the factors that led to the failure of surgery. Results: Of the 120 patients, 81 cases were successfully operated and 39 cases failed. Statistical analysis showed that the patients’ age, the size and location of stones, and the presence of hydronephrosis were not statistically significant. Logistic regression analysis showed that the main Factors are the distance from the skin to the stones and the density of the stones, and are two independent risk factors. CONCLUSIONS: The study indicates that the primary risk factor for failure of ESWL in patients with kidney stones is the density, size, and distance between the stones and the skin, both of which can be used as predictors of successful surgeries.