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影响上尿路结石体外冲击波碎石治疗后复发的多因素研究 被引量:12

STUDY OF MULTIPLE FACTORS AFFECTING RECURRENCE OF UPPER URINARY STONE ESWL
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摘要 分析了上尿路结石体外冲击波碎石(ESWL)治疗后复发的113例和无复发的112例病人,对可能导致复发的32个因素分为52个水平。应用Logistic回归模型进行相关分析。结果显示:排石效果、ESWL次数、感染因素、代谢因素和性别是ESWL治疗后复发的危险因素,有显著性差异(P<0.01)。根据5个显著性指标,建立了上尿路结石ESWL治疗后预报数学模型(PV),为预测ESWL治疗的预后提供理论依据。将理论预后与实际预后进行比较,其敏感性、特异性、符合率分别为77.6%、76.1%、76.9%。 The article analyses recurrence of 113 patients and nonrecurrence of 112 patients after ESWL. 32 factors with probably leading to recurrence were divided into 52 levels. Logistic restore model was used to pursue related analyses. The results showed that there were significant defferences (P<001) among result of discharging, times of ESWL, infection, metabolism and sex factors. According to the five significant indexes, we set up a predictable mathematical model for the prognosis of upper urinary stone after ESWL. Comparing theorical prognosis with actual prognosis, their sensibility, specificity and accordance rate were 776%, 761%, 769% respectively, which were nearly coincident.
机构地区 解放军第
出处 《解放军医学杂志》 CAS CSCD 北大核心 1998年第2期105-107,共3页 Medical Journal of Chinese People's Liberation Army
关键词 预后 泌尿道结石 体外冲击波碎石 urinay calculi lithotripsy prognosis
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