石头形成者同时患有肠道疾病的重复石头手术风险更高:单中心长期分析
Margaret A Knoedler1, Shuang Li1, Shuhei Hirano1
1Department of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Urology
|April 22, 2024
概括
患有肠道疾病的患者,特别是那些先前进行了肠切除或绕道术的患者,面临重复石头手术的更高风险. 这种风险在炎症性肠病或其他肠道疾病中没有升高.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
- 外科手术的结果
背景情况:
- 肠道疾病是形成结石的已知危险因素.
- 不同类型的肠道疾病对重复石头手术的需要的影响尚未得到充分理解.
研究的目的:
- 为了比较患有和没有肠道疾病的患者重复石头手术的风险.
- 调查不同类型的肠道疾病是否会影响重复石头手术的需要.
主要方法:
- 对手术石患者的回顾性分析.
- 肠道疾病的分类为炎症性肠道疾病 (IBD),旁路,切除等.
- 使用生存分析对人口统计,石头疾病和复发性石头事件进行比较.
主要成果:
- 24%的手术石头患者患有肠道疾病.
- 患有肠道疾病的患者年龄较大,更有可能是女性.
- 肠切除和旁路与重复石头手术的增加显著相关 (P < .001和P = .002).
- IBD和其他肠道疾病没有显示增加风险.
结论:
- 患有肠道疾病的患者,特别是先前的肠切除和绕道,有更高的重复石头手术的风险.
- 肠道疾病的类型是确定复发性石头手术风险的关键因素.
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