Department of Urology, Peking University First Hospital - Miyun Hospital, Beijing, China.
Medicine (Baltimore). 2023 Nov 24;102(47):e35845. doi: 10.1097/MD.0000000000035845.
This study aimed to explore the risk factors for infection and bleeding after lateral decubitus percutaneous nephrolithotomy procedures to prevent their occurrence and improve surgical outcomes. A retrospective analysis was conducted on 356 patients who underwent lateral decubitus percutaneous nephrolithotomy for the treatment of kidney stones and upper ureteral stones from January 2015 to August 2022. Among them, 290 patients had complete clinical data. General clinical data, perioperative data, and stone characteristics were collected for each patient. Univariate and multivariate logistic regression analyses were performed to identify risk factors for infection and bleeding after lateral decubitus percutaneous nephrolithotomy. The postoperative infection rate after lateral decubitus percutaneous nephrolithotomy was 19.31%, and the postoperative bleeding rate was 12.07%. Independent risk factors for postoperative infection were multiple stones (P < .001), stone size (P < .001), and stone co-infection (P = .012). Independent risk factors for postoperative bleeding were multiple stones (P = .008) and stone size (P = .014). Multiple stones, stone size, and stone co-infection are independent risk factors for postoperative infection after lateral decubitus percutaneous nephrolithotomy. Multiple stones and stone size are independent risk factors for postoperative bleeding after lateral decubitus percutaneous nephrolithotomy.
本研究旨在探讨侧卧位经皮肾镜碎石取石术后感染和出血的危险因素，以预防其发生，改善手术效果。回顾性分析了 2015 年 1 月至 2022 年 8 月期间 356 例因肾结石和上段输尿管结石接受侧卧位经皮肾镜碎石取石术治疗的患者。其中 290 例患者具有完整的临床资料。收集每位患者的一般临床资料、围手术期资料和结石特征。对侧卧位经皮肾镜碎石取石术后感染和出血的危险因素进行单因素和多因素 logistic 回归分析。侧卧位经皮肾镜碎石取石术后感染率为 19.31%，出血率为 12.07%。术后感染的独立危险因素为多发结石（P<0.001）、结石大小（P<0.001）和结石合并感染（P=0.012）。术后出血的独立危险因素为多发结石（P=0.008）和结石大小（P=0.014）。多发结石、结石大小和结石合并感染是侧卧位经皮肾镜碎石取石术后感染的独立危险因素。多发结石和结石大小是侧卧位经皮肾镜碎石取石术后出血的独立危险因素。
