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体重指数对经皮肾镜取石术治疗效果的影响。

Effects of body mass index on the outcomes of percutaneous nephrolithotomy.

作者信息

Isoglu Cemal Selcuk, Suelozgen Tufan, Boyacioglu Hayal, Koc Gokhan

机构信息

Department of Urology, Tepecik Education and Research Hospital, Izmir, Turkey.

Department of Statistics, Ege University Faculty of Science, Izmir, Turkey.

出版信息

Int Braz J Urol. 2017 Jul-Aug;43(4):698-703. doi: 10.1590/S1677-5538.IBJU.2016.0678.

Abstract

OBJECTIVE

To examine the the effect of body mass index (BMI) on PNL results and complications with a large number of patients.

MATERIALS AND METHODS

A total of 958 patients were included in the study, who underwent percutaneous nephrolithotomy in our clinic between 2008 and 2015. Patients were divided into 2 groups according to their body mass index. Patients with a BMI < 30 kg/m2 were classified as group 1 (n:676) and patients with a BMI ≥ 30 kg/m2 were classified as group 2 (n:282). Achieving stone-free status or having residual stones of ≤ 4 mm were considered as operational success.

RESULTS

The mean age was 47.9 years for group 1 and 48.9 years for group 2 patients. At postoperative first month CT analysis, residual stone was not observed in 466 patients (69%) of group 1 and 20 (72%) patients of group 2. There was no significant difference between the groups in terms of stone-free status (p=0.348). There was no significant difference between two groups complications. Also, there was no difference between the groups for requiring additional intervention (p=0.924). No other complications were observed in the patients.

CONCLUSIONS

BMI does not affect the outcomes of percutaneous nephrolithotomy as well as complication rate.

摘要

目的

通过大量患者研究体重指数(BMI)对经皮肾镜取石术(PNL)结果及并发症的影响。

材料与方法

本研究共纳入958例患者,这些患者于2008年至2015年间在我院接受经皮肾镜取石术。根据体重指数将患者分为两组。BMI<30kg/m²的患者归为第1组(n = 676),BMI≥30kg/m²的患者归为第2组(n = 282)。结石清除或残留结石≤4mm被视为手术成功。

结果

第1组患者的平均年龄为47.9岁,第2组患者为48.9岁。术后第1个月的CT分析显示,第1组466例患者(69%)和第2组20例患者(72%)未观察到残留结石。两组在结石清除状态方面无显著差异(p = 0.348)。两组并发症之间无显著差异。此外,两组在需要额外干预方面也无差异(p = 0.924)。患者未观察到其他并发症。

结论

BMI不影响经皮肾镜取石术的结果及并发症发生率。

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The association of increasing body mass index and kidney stone disease.体重指数增加与肾结石病的关系。
J Urol. 2010 Feb;183(2):571-5. doi: 10.1016/j.juro.2009.09.085. Epub 2009 Dec 16.
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Outcome of percutaneous nephrolithotomy: effect of body mass index.经皮肾镜取石术的结果:体重指数的影响
Eur Urol. 2007 Jul;52(1):199-204. doi: 10.1016/j.eururo.2006.11.049. Epub 2006 Dec 4.

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