| 邬小花,王星星,胡雪羚.老年上尿路结石患者的结石成分及术后复发的影响因素分析[J].中国临床保健杂志,2024,27(6):818-822. |
| 老年上尿路结石患者的结石成分及术后复发的影响因素分析 |
| Analysis of stone composition and influencing factors of postoperative recurrence in elderly patients with upper urinary tract stones |
| 投稿时间：2024-07-11 |
| DOI：10.3969/J.issn.1672-6790.2024.06.021 |
| 中文关键词: 尿路结石 复发 危险因素 老年人 |
| 英文关键词: Urinary calculi Recurrence Risk factors Aged 〖FL |
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| 中文摘要: |
| 目的 分析老年上尿路结石患者结石成分,并探讨其术后复发相关因素。方法 回顾性分析2020年1月到2023年12月在舟山医院进行治疗的112例老年上尿路结石患者,按照术后是否复发分为复发组26例和未复发组86例。使用红外光谱自动分析系统对结石进行成分检测,比较2组患者一般资料、结石相关资料和实验室生化指标。结果 112例老年上尿路结石患者以草酸钙类结石(64.29%)最为常见,其次是尿酸类结石(17.86%)；复发组磷酸铵镁类结石比例高于未复发组(P＜0.05)。复发组体重指数(BMI)、总胆固醇、三酰甘油、血尿酸均高于未复发组(P＜0.05)。logistic回归分析显示高BMI、磷酸铵镁类结石是老年上尿路结石术后复发的独立危险因素(P＜0.05)。结论 老年上尿路结石患者以草酸钙类结石最为常见,其次是尿酸类结石。高BMI、磷酸铵镁类结石是老年上尿路结石术后复发的独立危险因素。 |
| 英文摘要: |
| Objective To analyze the composition of stones in elderly patients with upper urinary tract stones,explore the factors related to postoperative recurrence,and propose corresponding prevention strategies.Methods A retrospective analysis was conducted in 112 elderly patients with upper urinary tract stones who received treatment at Zhoushan Hospital from January 2020 to December 2023.They were divided into a recurrence group of 26 cases and a non-recurrence group of 86 cases based on whether there was postoperative recurrence.A infrared spectroscopy automatic analysis system was used to detect the composition of stones,and general information,stone related information,and laboratory biochemical indicators were compared between two groups.Results Among 112 elderly patients with upper urinary tract stones,calcium oxalate stones (64.29%) were the most common,followed by uric acid stones (17.86%).The proportion of magnesium ammonium phosphate stones in the recurrent group was higher than that in the non recurrent group (P<0.05).The body mass index (BMI),total cholesterol,triglycerides,and blood uric acid in the recurrent group were all higher than those in the non recurrent group (P<0.05).Logistic regression analysis showed that high BMI and magnesium ammonium phosphate stones were independent risk factors for postoperative recurrence of upper urinary tract stones in the elderly (P<0.05).Conclusions Calcium oxalate stones are the most common type of upper urinary tract stones in elderly patients,followed by uric acid stones.High BMI and magnesium ammonium phosphate stones are independent risk factors for postoperative recurrence of upper urinary tract stones in the elderly. |
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