中南医学科学杂志2024，Vol.52Issue(2)：292-294,3.DOI:10.15972/j.cnki.43-1509/r.2024.02.035
输尿管软镜下钬激光碎石治疗输尿管上段结石并发输尿管狭窄的危险因素分析
Analysis of risk factors for ureteral stricture in patients with upper ureteral calculi undergoing holmium laser lithotripsy under ureteral soft endoscopy
刘建威 1谢青南 1张愚1
作者信息
- 1. 首都医科大学附属北京佑安医院泌尿外科,北京 100069
- 折叠
摘要
Abstract
Aim To explore the risk factors of upper ureteral stones complicated with ureteral stricture in patients treated with holmium laser lithotripsy under ureteroscopy.Methods 988 patients with upper ureteral stones were selected and divided into a soft mirror group and a hard mirror group based on different surgical equipment.The levels of cortisol(Cor)and C-reactive protein(CRP)were compared between the two groups.The soft endoscope group was divided into a stenosis group and a non-stenosis group based on the presence or absence of postoperative ureteral stricture.Multivariate Logistic regression analysis was used to identi-fy the risk factors for ureteral stricture.Results The postoperative Cor and CRP levels in both groups were higher than those be-fore surgery,and the soft mirror group was lower than the hard mirror group(P<0.05).The incidence of ureteral stricture in the soft endoscope group was 5.60%.The disease course,stone diameter,stone entrapment,and ureteral injury were independent risk fac-tors for concurrent ureteral stricture(P<0.05).Conclusion Ureteroscopy has a smaller impact on the patient's stress response,and the disease course,stone diameter,stone entrapment,and ureteral injury are independent risk factors for ureteral stricture.关键词
输尿管软镜/钬激光/输尿管上段结石/输尿管狭窄/危险因素Key words
ureteroscopy/holmium laser/upper ureteral calculi/urethral stenosis/risk factors分类
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刘建威,谢青南,张愚..输尿管软镜下钬激光碎石治疗输尿管上段结石并发输尿管狭窄的危险因素分析[J].中南医学科学杂志,2024,52(2):292-294,3.
