肾结石患者经皮肾镜取石术后并发尿潴留的危险因素

Risk Factors for Urinary Retention after Percutaneous Nephrolithotomy in Patients with Kidney Stone Disease

目的探讨肾结石患者经皮肾镜取石术后并发尿潴留的危险因素。方法采用回顾性研究,将2021年1月至2022年1月医院收治的40例经皮肾镜取石术后并发尿潴留的肾结石患者作为发生组,将同期的40例经皮肾镜取石术后未并发尿潴留的肾结石患者作为未发生组。比较两组一般资料,并分析肾结石患者经皮肾镜取石术后并发尿潴留的危险因素。结果发生组与未发生组的导尿管留置时间、合并糖尿病、麻醉方式及焦虑与抑郁比较,差异有统计学意义(P<0.05);Logistic回归分析结果显示,导尿管留置时间长、合并糖尿病、椎管内麻醉及焦虑与抑郁均是肾结石患者经皮肾镜取石术后并发尿潴留的危险因素(OR>1,P<0.05)。结论肾结石患者经皮肾镜取石术并发尿潴留与导尿管留置时间长、合并糖尿病、椎管内麻醉及焦虑与抑郁有关。

Objective The risk factors of urinary retention after percutaneous nephrolithotomy in patients with kidney stone disease were investigated.Methods By retrospective study,with 40 patients with kidney stone disease complicated with urinary retention after percutaneous nephrolithotomy admitted to the hospital from January 2021 to January 2022 as the occurrence group,and 40 patients with kidney stone disease without urinary retention after percutaneous nephrolithotomy in the same period as the non-occurrence group,the general data of the two groups were compared,and the risk factors of urinary retention after percutaneous nephrolithotomy in patients with kidney stone disease were analyzed.Results There were statistically significant differences between the occurrence group and the non-occurrence group in catheter indwelling time,diabetes,anesthesia mode,anxiety and depression(P<0.05);Logistic regression analysis showed that long catheter indwelling time,diabetes mellitus,intraspinal anesthesia and anxiety and depression were the risk factors of urinary retention after percutaneous nephrolithotomy for patients with kidney stone disease(OR>1,P<0.05).Conclusion Urinary retention in patients with kidney stone disease after percutaneous nephrolithotomy is related to the long catheter indwelling time,diabetes,intraspinal anesthesia,anxiety and depression.