Clinical Assessment of Risk Factors for Renal Atrophy After Percutaneous Nephrolithotomy
| Autor: | Qian Shenqiang, Jiang Yuanbing, Wang Xi, Guo Yu, Yin Xiangrui, Wei Xiong |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Urology Nephrolithotomy Percutaneous Kidney Kidney Calculi Atrophy Postoperative Cognitive Complications Clinical Research Risk Factors medicine Humans Kidney Pelvis Percutaneous nephrolithotomy Hydronephrosis Univariate analysis business.industry General Medicine Middle Aged medicine.disease medicine.anatomical_structure Inclusion and exclusion criteria Patient Compliance Female Pyonephrosis business Renal pelvis Follow-Up Studies |
| Zdroj: | Medical Science Monitor : International Medical Journal of Experimental and Clinical Research |
| ISSN: | 1643-3750 1234-1010 |
| Popis: | BACKGROUND This study explored the risk factors for renal atrophy after percutaneous nephrolithotomy (PCNL), and provides a reference for clinical prevention of renal atrophy after PCNL. MATERIAL AND METHODS According to the inclusion and exclusion criteria, the clinical data of 816 patients who underwent PCNL in our hospital from May 2013 to February 2018 were retrospectively collected. Depending on whether the patient had kidney atrophy, they were divided into a renal atrophy group and a non-renal atrophy group. We collected and analyzed data on patient sex, age, kidney location, duration of disease, stone size, hydronephrosis, renal calculus position (renal ureteral junction or multiple pyelonephritis-associated stones), operation time, intraoperative blood loss, perfusion pressure, and pyonephrosis. The indicators with statistically significant differences were selected and multivariate logistic regression analysis was carried out to determine the risk factors for renal atrophy. RESULTS Among 816 patients, 49 had renal atrophy and the incidence rate was 6.01%. Univariate analysis and multivariate logistic regression analysis showed that independent risk factors for renal atrophy after PCNL were: duration of the disease longer than 12 months (OR=4.216, P=0.003, 95% CI: 1.714, 7.354), perfusion pressure >30 mmHg (OR=3.895, P=0.001, 95% CI: 1.685, 8.912), moderate and severe hydronephrosis (OR=5.122, P |
| Databáze: | OpenAIRE |
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