Investigation Of Adverse Symptoms And Related Factors In Urinary Calculi After Minimally Invasive Stone Removal And Indwelling Ureteral Stent

Objective:By summarizing the data of patients with ureteral stent placement after urinary calculi,the risk factors and related factors of ureteral stent placement were analyzed,which provided a clinical basis for guiding patients to prevent adverse symptoms.Methods:Patients with indwelling ureteral stents were investigated for extubation at the time of extubation by using the ureteral stent symptom questionnaire(USSQ),and general patient data,clinical data,and follow-up data were collected.Statistical analysis of the occurrence of related adverse symptoms after ureteral stent placement,and related factors and risk factors.Results:1.The final 249 patients were included in the study.The most common adverse symptoms were pain,hematuria,bladder irritation,ureteral scoliosis,and ureteral stent displacement.The percentages were 65.1%,63.9%,50.2%,27.3%,and 5.2.%.2.Compared with the hematuria group and the non-hematuria group,there were statistically significant differences between the two groups(P<0.05),including residual stones,daily drinking water,and daily activity(P<0.05),suggesting that it may be related to hematuria.3.Compared with the group with symptoms of bladder irritation and no symptoms of bladder irritation,there were statistically significant differences between the two groups,including residual stones,daily water intake,and daily activity(P<0.05),suggesting that it may be associated with postoperative bladder irritation.4.Compared with the ureteral stent stone scale formation group and the no ureteral stent stone scale formation group,there were statistically significant differences between the two groups,including postoperative residual stones,daily water intake and ureteral stent indwelling time(P<0.05),suggesting that it may be related to the formation of postoperative ureteral stent scale.5.Compared with the pain group and the pain-free group,there were statistically significant differences between the two groups,including transurethral catheterization,postoperative residual stones,daily activity(P<0.05),suggesting that it may be related to postoperative pain.6.Compared with the ureteral stent displacement group and the ureteral stent displacement group,there was a statistically significant difference between the two groups,including body mass index,ureteral stent indwelling time,daily activity(P<0.05),suggesting that it may be related to postoperative ureteral stent displacement.Conclusion:Large amount of activity,low water intake,residual stones after surgery are independent risk factors for hematuria and bladder irritation after ureteral catheterization.Postoperative residual stones,low water intake,and long stent placement time are independent risk factors for ureteral stent formation after ureteral calculi.Postoperative residual stones are independent risk factors for pain in ureteral stent placement after urinary calculi.Low body mass index,long indwelling time of ureteral stent,and large amount of activity are independent risk factors for ureteral stent displacement after ureteral stent placement after ureteral calculi.