| ObjectiveTo investigate the effect of type 2 diabetes on the incidence of complications associated with percutaneous nephrolithotomy in patients with upper urinary tract calculi and the effect of type 2 diabetes on the composition of stones.MethodsTo retrospectively analyze the clinical data of patients with urinary calculi or kidney stones who underwent PCNL in the Department of Urology,Second Hospital of Tianjin Medical University between January 2015 and January 2018.The surgical approach was guided by ultrasound-guided percutaneous nephrolithotomy.A total of 660 eligible patients were sorted out;according to the purpose of the study,divided into two groups;type 2 diabetes group(118 cases)and non-type 2 diabetes group(542 cases);among which there was a group of type 2 diabetes,which involved All patients were diagnosed with type 2 diabetes by the WHO 1999 Diabetes Criteria.Patients with type 1 diabetes were not included in the non-type 2 diabetes group.Diabetes was evaluated by percutaneous nephrolithotomy by comparing clinically relevant indicators of diabetic and non-diabetic patients.Incidence of surgical complications,statistics of postoperative patient’s stone composition,discussion of the influence of type 2 diabetes on stone composition;statistics of various clinical data: age,gender,body mass index(BMI),length of stay,stone size and location,intraoperative blood loss,urine routine,time used for surgery,stone clearance rate,surgical complications,stone composition,etc.,and calculated the corresponding incidence rate.ResultsThere was no statistically significant difference in intraoperative blood loss,time used for surgery,and stone removal rate between patients with type 2 diabetes and those without type 2 diabetes(P > 0.05);average length of stay in patients with type 2 diabetes for hospital stay(17.6 ± 3.2 days)significantly more than non-type 2 diabetic patients(10.4 ± 3.3 days)(P < 0.05).The incidence of postoperative fever,systemic inflammatory response syndrome,and urinary sepsis in patients with type 2 diabetes was higher;it was statistically significant.The proportion of uric acid stones in patients with type 2 diabetes was higher than that of patients with non-diabetes type 2;this was statistically significant(P < 0.05).ConclusionIt is safe and effective for patients with type 2 diabetes mellitus patients with PCNL stones,but need to actively control the postoperative infection and reduce complications;patients with type 2 diabetes,uric acid stones significantly increased the proportion,to actively control the level of blood uric acid,preventing the recurrence of calculi after operation and development. |
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