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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

25卷

期数:

2019年04期

页码:

378-381

栏目:

临床医学

出版日期:

2019-07-20

文章信息/Info

Title:

Analysis of risk factors for ureteral polyps secondary to ureteral stone

文章编号:

1006-8147(2019)04-0378-04

作者:

王 琦; 阳超琴; 陈 岳; 齐士勇; 张志宏; 徐 勇

（天津医科大学第二医院泌尿外科，天津市泌尿外科研究所，天津300211）

Author(s):

WANG Qi;  YANG Chao-qin;  CHEN Yue;  QI Shi-yong;  ZHANG Zhi-hong;  XU Yong

(Department of Urology, Tianjin Institute of Urology, The Second Hospital, Tianjin Medical University, Tianjin 300211, China)

关键词:

输尿管结石; 输尿管息肉; 危险因素; 多因素分析; 炎性息肉

Keywords:

ureter stones;  ureter polyps;  risk factors;  multivariate analysis;  inflammatory polyps

分类号:

R693+.4

DOI:

-

文献标志码:

A

摘要:

目的：探讨输尿管结石继发输尿管息肉的危险因素。方法：回顾性分析2017年9月-2018年6月就诊于天津医科大学第二医院泌尿外科并进行手术治疗的278例输尿管结石患者的临床资料，探讨输尿管结石并发输尿管息肉的危险因素。采用SPSS20.0软件进行统计学分析，性别、年龄、BMI、吸烟史、饮酒史、高血压病史、糖尿病病史、病程长短、结石长径、患侧、结石定位、患侧肾积水程度、术前是否感染、结石形态、结石表面粗糙程度以及输尿管壁厚度进行统计分析，单因素分析采取组间χ2检验，多因素分析采用非条件Logistic回归分析法，P<0.05表示具有统计学意义。结果：278例输尿管结石患者有134（48.2%）例术中可见结石所在位置并发输尿管息肉；采用非条件Logistic回归分析，结果显示患者病程长短、患侧肾积水程度、术前感染、结石形态、结石表面以及输尿管管壁厚度是输尿管结石并发输尿管息肉的独立危险因素（OR=1.969，OR=1.513，OR=0.288，OR=2.612，OR=2.646，OR=2.455，P<0.05）。结论：病程长短、患侧肾积水程度、术前感染、结石形态、结石表面粗糙程度以及输尿管管壁厚度是输尿管结石继发输尿管息肉的独立危险因素。

Abstract:

Objective: To identify the risk factors for ureter polyps secondary to ureter stones by univariate and multivariate analysis. Methods: Retrospective analysis of 278 patients with ureter stone underwent lithotriptic surgery in the Second Hospital of Tianjin Medical University from September, 2017 to May, 2018. Patients with ureter polyps (n=134) were compared with patients without ureter polyps (n=144). Univariate and multivariate analysis were used to assess several potential risk factors that may affect the occurrence of ureter polyps. Results: The overall incidence of ureter polyps was 48.2%. Univariate analysis demonstrated that longer duration, severer hydronephrosis, no preoperative infection, non-spherical stones and rough surface of the stones were risk factors for ureter polyps secondary to ureter stones. Multivariate analysis also identified longer duration, severer hydronephrosis, no preoperative infection, irregular stones morphology and rough surface of the stones as independent risk factors. Conclusion: Longer duration, severer hydronephrosis, no preoperative infection, irregular stones morphology and rough surface of the stones may be independent risk factors for ureter polyps secondary to ureter stones. These findings may assist in preoperative assessment and guide the urologists in making surgical decisions to reduce surgical risks and complications.

参考文献/References:

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相似文献/References:

[1]陈超,张昌文,齐士勇,等.输尿管结石合并上尿路尿路上皮癌临床分析[J].天津医科大学学报,2013,19(05):393.

备注/Memo

备注/Memo:

作者简介 王琦（1993-），男，硕士在读，研究方向：肾结石疾病基础及临床研究；通信作者：徐勇，E-mail: drxuyong1955@126.com。

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更新日期/Last Update: 2019-08-28