A retrospective analysis for predicting extracorporeal shock-wave lithotripsy in treating proximal ureteral stone

Li Cong; Xun Yang; Liu Zheng

您当前的位置：

首页 >

文章列表页 >

A retrospective analysis for predicting extracorporeal shock-wave lithotripsy in treating proximal ureteral stone

更新时间：2023-12-22

- A retrospective analysis for predicting extracorporeal shock-wave lithotripsy in treating proximal ureteral stone
- Journal of Chongqing Medical University Vol. 43, Issue 4, Pages: 583(2018)
- 作者机构：
  
  华中科技大学同济医学院附属同济医院泌尿外科,武汉,430000
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2018，
扫描看全文
Li Cong, Xun Yang, Liu Zheng. A retrospective analysis for predicting extracorporeal shock-wave lithotripsy in treating proximal ureteral stone. [J]. Journal of Chongqing Medical University 43(4):583(2018)
DOI：

Li Cong, Xun Yang, Liu Zheng. A retrospective analysis for predicting extracorporeal shock-wave lithotripsy in treating proximal ureteral stone. [J]. Journal of Chongqing Medical University 43(4):583(2018) DOI：

摘要

目的：探索单次体外冲击波碎石术治疗输尿管上段结石成功率的预测因素。方法：回顾性分析了符合纳入标准的79例体外碎石术前接受多层螺旋CT平扫（multi-detector computed tomography，MDCT）的患者，男性61例，女性18例；平均年龄43.5岁。评估性别、年龄、结石位置、体质指数（body mass index，BMI）、结石体表距离（skin-to-stone distance，SSD）、结石长径、结石最大横径、体积以及密度值（Hounsfield unit，HU）与体外冲击波碎石成功率的关系。结果：单因素分析提示，结石长径（P=0.038），结石最大横径（P=0.001）和结石密度值（P=0.001）的差异有统计学意义。多因素回归分析提示，结石最大横径（RR=7.953，P=0.003）和结石密度值（RR=3.31，P=0.048）是影响碎石失败率的危险因素。结论：结石密度值是影响体外碎石成功率的重要影响因素；除此之外，结石横径而非直径也是体外碎石成功率的显著影响因素。

Abstract

Objective：To evaluate the possible predictors of proximal ureteral stone disintegration by shock wave lithotripsy（SWL）. Methods：This retrospective study included 79 patients（61 males，18 females； mean age：43.5 years） who were performed non-en－hanced multi-detector computed tomography（MDCT） before SWL. The possible predictors such as gender，age，stone location，stone length，stone cross-sectional diameter，stone volume，body mass index（BMI），skin-to-stone distance（SSD），and stone density （Hounsfield unit，HU） were analyzed. Results：The stone length（P=0.038），cross-sectional diameter（P=0.001） and stone density（P=0.001） were significant different based on univariate analysis. By the multiple liner regression analysis，the stone density（RR=3.31，P=0.048） and cross-sectional diameter（RR=7.953，P=0.003） were considered to be the independent predictors of SWL success. Conclusion：Instead of stone length，the cross-sectional diameter and stone density were the independent predictors of SWL success.

关键词

体外冲击波碎石术输尿管上段结石预测因素

Keywords

extracorporeal shock wave lithotripsyproximal ureteral stonepredictor

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Impact of the infundibulopelvic angle on stone - free rate

Related Author

XU Guang - yong

et al

张唯力

Related Institution

Department of Urology, Second College of Clinical Medicine, Chongqing Medical University

重庆医科大学第二临床学院泌尿外科

⁰