Urinary Surgery, Affiliated Hospital 2 of Nantong University, 226006 Nantong, Jiangsu, China.
Arch Esp Urol. 2024 Aug;77(7):772-778. doi: 10.56434/j.arch.esp.urol.20247707.108.
Renal calculi are solid crystals that form in the kidneys and cause severe pain and discomfort. This study aims to investigate risk factors for postoperative recurrence of renal calculi in elderly patients and provide background knowledge on the prevalence and management of renal calculi in this demographic.
The clinical data of 123 elderly patients with renal calculi were included from 1 June 2021 to 1 June 2023 for their 6-month follow-up study. The patients were divided into recurrence group and non-recurrence group according to whether they had recurrence after surgery. The general sociological characteristics and disease-related characteristics of the two groups were counted. Logistic regression equation was used to calculate differences, and the influencing factors of postoperative recurrence in elderly patients with kidney stones were obtained. A receiver operating characteristic (ROC) curve was drawn to analyse the value of the factors in predicting postoperative recurrence in patients with kidney stones.
A total of 123 elderly patients with renal calculi were enrolled. The patients were divided according to the presence or absence of stone recurrence into the recurrence group (25 cases, 20.33%) and the non-recurrence group (98 cases, 79.67%). Postoperative water intake, excessive intake of animal protein, exercise and postoperative complications significantly differed between the recurrence group and the non-recurrence group ( < 0.001). Logistic regression analysis showed that the above-mentioned indicators were the influencing factors of postoperative recurrence. The area under the curve (AUC) values of postoperative water intake (AUC = 0.767), animal protein intake (AUC = 0.752), exercise (AUC = 0.707) and postoperative complications (AUC = 0.727) were statistically significant, and they were identified as the most important factors with high sensitivity and specificity and were of high value in predicting postoperative recurrence of renal calculi.
Elderly patients with kidney stones are prone to recurrence after surgery. Influencing factors should be given attention, and corresponding measures should be formulated for intervention as soon as possible.
肾结石是在肾脏中形成的固体晶体，会引起严重的疼痛和不适。本研究旨在探讨老年肾结石患者术后复发的危险因素，为该人群肾结石的患病率和管理提供背景知识。
纳入 2021 年 6 月 1 日至 2023 年 6 月 1 日的 123 例老年肾结石患者的临床资料，对其进行 6 个月的随访研究。根据术后是否复发，将患者分为复发组和未复发组。统计两组的一般社会学特征和疾病相关特征。使用 logistic 回归方程计算差异，得出老年肾结石患者术后复发的影响因素。绘制受试者工作特征（ROC）曲线分析各因素预测肾结石患者术后复发的价值。
共纳入 123 例老年肾结石患者。根据是否有结石复发，将患者分为复发组（25 例，20.33%）和未复发组（98 例，79.67%）。术后饮水量、动物蛋白摄入过多、运动和术后并发症在复发组和未复发组之间差异有统计学意义（<0.001）。logistic 回归分析显示，上述指标是术后复发的影响因素。术后饮水量（AUC=0.767）、动物蛋白摄入量（AUC=0.752）、运动（AUC=0.707）和术后并发症（AUC=0.727）的曲线下面积（AUC）值均有统计学意义，且具有较高的灵敏度和特异性，是预测肾结石术后复发的最重要因素，具有较高的预测价值。
老年肾结石患者术后易复发。应重视影响因素，并制定相应的干预措施。
