南方医科大学学报2016，Vol.36Issue(10)：1440-1443,4.DOI:10.3969/j.issn.1673-4254.2016.10.25
经皮肾镜碎石术后双J管相关严重并发症危险因素的Logistics回归分析
Logistic regression analysis of risk factors of serious complications related with double-J ure-teral stenting following percutaneous nephrolithotomy
韦巍 1钟羽翔 1黄剑华 1麦源 1蒲小勇 2王怀鹏 2徐战平1
作者信息
- 1. 佛山市中医院，广东 佛山 528000
- 2. 广东省人民医院，广东 广州 510000
- 折叠
摘要
Abstract
Objective To investigate the risk factors of the serious complications related with double-J ureteral stent placement following percutaneous nephrolithotomy (PCNL). Methods Clinical data were reviewed for 272 patients treated with PCNL and indwelling double-J stents between January, 2014 and April, 2016. The risk factors of serious complications were identified using univariate and multivariate logistic regression analysis. Results Serious complications of double-J ureteral stenting occurred in 63 patients (23.1%). Univariate and multivariate logistic regression analysis indicated that the ureter abnormalities (β=1.735, P=0.000, OR=5.670), stent indwelling duration (β=1.206, P=0.028, OR=3.340), gender (β=0.895, P=0.016, OR=2.446), preoperative urinary tract infection (β=0.849, P=0.020 , OR=2.338) and stent size (β=0.847, P=0.011, OR=2.333) were all risk factors of serious complications related with the procedure. Conclusion Male patients are exposed to a higher risk of serious complications following PCNL. Effective management of urinary tract infection and choice of appropriate stent size in cases of ureteral abnormalities help to reduce these complications. The double-J stent should be withdrawn as soon as possible in patients with good postoperative recovery.关键词
经皮肾镜碎石术/双J管/并发症/危险因素/Logistics回归Key words
percutaneous nephrolithotomy/double-J stent/risk factors/complications/logistic regression引用本文复制引用
韦巍,钟羽翔,黄剑华,麦源,蒲小勇,王怀鹏,徐战平..经皮肾镜碎石术后双J管相关严重并发症危险因素的Logistics回归分析[J].南方医科大学学报,2016,36(10):1440-1443,4.
