[1]叶照华,米其武,罗杰鑫,等.输尿管结石行输尿管镜下碎石术后并发输尿管狭窄的危险因素分析[J].中华腔镜泌尿外科杂志(电子版),2017,11(01):46-48.[doi:10.3877/cma.j.issn.1674-3253.2017.01.011 ]
　Ye Zhaohua,Mi Qiwu,Luo Jiexin,et al.Analysis of the risk factors of ureterostenosis after ureteroscopic lithotripsy in patients with ureteral calculi[J].,2017,11(01):46-48.[doi:10.3877/cma.j.issn.1674-3253.2017.01.011 ]
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输尿管结石行输尿管镜下碎石术后并发输尿管狭窄的危险因素分析()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
11
期数:
2017年01期
页码:
46-48
栏目:
临床研究
出版日期:
2017-03-06

文章信息/Info

Title:
Analysis of the risk factors of ureterostenosis after ureteroscopic lithotripsy in patients with ureteral calculi
作者:
叶照华; 米其武; 罗杰鑫; 李德君; 陈祐君
523000 广东，东莞市人民医院泌尿外科
Author(s):
Ye Zhaohua;  Mi Qiwu;  Luo Jiexin;  Li Dejun;  Chen Youjun.
Department of Urology, Dongguan People's Hospital, Guangdong 523000, China
关键词:
输尿管镜;  输尿管结石;  输尿管狭窄;  危险因素;  多因素
DOI:
10.3877/cma.j.issn.1674-3253.2017.01.011
摘要:
目的 探讨输尿管镜下治疗输尿管结石术后并发输尿管狭窄的危险因素。方法 以2014年1月至2015年12月间来我院就诊的708例行输尿管镜下碎石的输尿管结石患者的临床资料为基础，分析造成术后输尿管狭窄的危险因素。结果 术后共发现输尿管狭窄患者36例（5.1%）。导致输尿管狭窄发生的危险因素依次为：嵌顿结石（OR=3.61，95%CI=2.12~6.08，P<0.001）、多发结石（OR=3.22，95%CI=1.01~5.77，P<0.001）、大结石（OR=2.41，95%CI=1.14~4.18，P<0.001）、钬激光手术（OR=1.36，95%CI=1.02~3.93，P=0.031），长病程（OR=1.12，95%CI=1.02~3.42，P=0.038）。结论 对于嵌钝性结石、多发结石、结石较大及行钬激光碎石者，应注意手术操作对输尿管的损伤，积极防治输尿管狭窄的发生。

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备注/Memo

备注/Memo:
通讯作者：叶照华，Email：66567664@qq.com
更新日期/Last Update: 2017-02-20