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首页> 外文期刊>Journal of Clinical Medicine Research >A Retrospective Study of Kidney Stone Recurrence in Adults
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A Retrospective Study of Kidney Stone Recurrence in Adults

机译：成人肾结石复发的回顾性研究

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Background: Nephrolithiasis or kidney stone disease (KSD) is a common disorder worldwide. Despite the availability of a variety of effective management strategies, KSD recurrence remains a problem. In the present study, we investigated the KSD recurrence after the treatment of the first stone episode. Methods: Medical records of all patients who had KDS treated in our department from January 2012 to January 2016 were retrospectively reviewed. A total of 146 patients who had KDS recurrence were identified. The demographic information, biochemical data, treatment methods, report of hydronephrosis severity and stone chemical compositions were collected and analyzed. Results: We reported that: 1) Sixty four (43.8%) out of 146 patients with stone recurrence were overweight or obese; 2) Of all 146 patients with stone recurrence, 86 (58.9%) had hyperlipidemia, 77 (52.4%) had hyperuricemia and 64 (43.8%) had hyperglycemia; 3) Mini-invasive methods were mostly used for the treatment of the first stone episode; 4) The most chief complaint differed during the first episode and recurrence; 5) The number of patients who had grades 3 and 4 hydronephrosis was significantly lower during recurrence compared with that in the first stone episode; 6) Seventy nine (54.1%) patients with recurrence had stone of calcium oxalate. Conclusions: Majority of patients with KSD recurrence have overweight/obesity, hyperlipidemia, hyperuricemia and hyperglycemia, indicating a role of metabolic disorders in stone recurrence. Mini-invasive methods are the mainstay for the management of the first stone episode. The degree of hydronephrosis is significantly reduced during stone recurrence, possibly due to increased awareness of the disease and thereafter the change of lifestyle in patients. Over half of recurrent stones are of calcium oxalate.
机译：背景：肾结石或肾结石病（KSD）是世界范围内的常见疾病。尽管有各种有效的管理策略，但KSD复发仍然是一个问题。在本研究中，我们调查了第一个结石发作后的KSD复发。方法：回顾性分析2012年1月至2016年1月我科接受KDS治疗的所有患者的病历。总共鉴定出146名KDS复发患者。收集并分析人口统计学信息，生化数据，治疗方法，肾积水严重程度报告和结石化学成分。结果：我们报告：1）146例结石复发患者中有64例（43.8％）超重或肥胖; 2）在146例结石复发患者中，高脂血症86例（58.9％），高尿酸血症77例（52.4％），高血糖64例（43.8％）; 3）微创方法主要用于治疗首例石块发作; 4）最主要的抱怨在第一集和复发中有所不同; 5）与第一个结石发作相比，复发期间发生3级和4级肾积水的患者数量明显减少; 6）七十九名（54.1％）复发患者患有草酸钙结石。结论：大多数KSD复发患者具有超重/肥胖，高脂血症，高尿酸血症和高血糖症，表明代谢紊乱在结石复发中起作用。微创方法是处理第一例石块的主要手段。结石复发期间肾积水的程度明显降低，这可能是由于对疾病的认识增强以及患者生活方式的改变。超过一半的结石是草酸钙。

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