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| Analysis of Related Factors Influencing the Effect of Upper Urinary Rract Stone Removal |
| LI Wei, HE Linrui, LUO Xiong, et al |
| Bazhong Central Hospital, Sichuan Bazhong 636600,China |
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Abstract Objective: To explore the related factors that affect the effect of stone removal in patients with upper urinary tract stones, in order to provide reference for clinical treatment. Methods: A retrospective analysis of 217 patients with upper urinary tract stones admitted to our hospital from May 2018 to May 2020 were divided into two groups according to the stone removal effect, namely the success group (n=165, removal success) and the failure group (N=52, clearance failure), and the factors affecting patient clearance were analyzed by binary Logistic regression. Results: After binary logistic regression analysis, the stone length>2cm, CT value>750HU, hydronephrosis state, multiple stones, BMI≥24kg/m2 are independent factors influencing the stone removal rate, and the course of the disease is a suspicious factor (P<0.05). Conclusion: The number of stones, length of stones, BMI, course of disease, CT value, and hydronephrosis are important factors affecting the rate of one-time removal of stones. Therefore, it is necessary to reasonably choose minimally invasive surgery according to the actual situation of the patient, and do a good job of screening for surgical indications, so as to effectively increase the rate of one-time stone removal, reduce the risk of reoperation, and have high safety and worthy of clinical promotion.
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2021, Vol. 27 
