|
|
Related factor of urinary sepsis after percutaneous nephrolithotomy |
DENG Yue-yun LI Xiu-ning▲ |
Department of Urology,People′s Hospital of Yunfu City in Guangdong Province,Yunfu 527300,China |
|
|
Abstract ObjectiveTo explore related factor of urinary sepsis after percutaneous nephrolithotomy(PCNL).Methods45 patients who conducted PCNL in People′s Hospital of Yunfu City from March 2013 to April 2016 were collected. Postoperative urinary sepsis in 28 cases,factors of age,sex,urine white blood cell,blood white blood cells,preoperative urine culture,renal function,renal stone size,renal effusion,surgery history,bleeding volume and operation time were group compared,and Logistic regression analysis was performed on the factors which were statistically different to get related factors of urinary sepsis after PCNL.ResultsComparison different groups of urine white blood cell,preoperative urine culture,renal function,renal stone size,renal effusion,surgery history,intraoperative bleeding volume and operation time,the difference was statistically significant(P<0.05).Logistic regression analysis found that urine culture,renal function,renal stone size,operation history and operation time were related to urinary sepsis after PCNL.ConclusionAim at processing and evaluation the factors of positive urine culture,renal injury,larger renal stones,surgery history of urinary tract,ecaluation of longer operation time before operation are expected to prevent and reduce occurrence rate of urinary sepsis after PCNL.
|
|
|
|
|
[9] |
高子琨,张海滨,许文峰,等.PCNL术后脓毒血症并发休克危险因素分析[J].中外医学研究,2014,12(16):18-19.
|
[10] |
程应生,杨代俊,郑攀丰,等.上尿路结石术后尿源性脓毒血症的诊治研究[J].微创泌尿外科杂志,2015,4(1):44-47.
|
[12] |
肖建涛,黄凯,戴英波,等.mPCNL术后尿源性脓毒血症危险因素研究[J].中国感染控制杂志,2015,14(1):31-34.
|
[1] |
那彦群,叶章群,孙颖浩.2014版中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2014.
|
[2] |
Kim BS.Recent advancement or less invasive treatment of percutaneous nephrolithotomy[J].Korean J Urol,2015,56(9):614-623.
|
[3] |
Kyriazis I,Panagopoulos V,Kallidonis P,et al.Complications in percutaneous nephrolithotomy[J].World J Urol,2015,33(8):1069-1077.
|
[4] |
龚宾宾,梁朝朝,郝宗耀.经皮肾镜碎石术后并发尿脓毒血症的研究进展[J].临床泌尿外科杂志,2013,28(9):716-719.
|
[5] |
Kreydin EI,Eisner BH.Risk factors for sepsis after percutaneous renal stone surgery[J].Nat Rev Urol,2013,10(10):598-605.
|
[6] |
关礼贤,崔学江,徐勋,等.上尿路结石腔内术后尿源性脓毒血症的防治体会[J].中国当代医药,2013,20(20):184-185.
|
[8] |
谢旭敏.经皮肾镜碎石术所致尿源性脓毒血症的危险因素分析[D].广州:南方医科大学,2015.
|
[7] |
Shoshany O,Margel D,Finz C,et al.Percutaneous nephrolithotomy for infection stones:what is the risk for postoperative sepsis?A retrospective cohort study[J].Urolithiasis,2015,43 (3):237-242.
|
[11] |
Nakamon T,Kitirattrakarn P,Lojanapiwat B.Outcomes of percutaneous nephrolithotomy:comparison of elderly and younger patients[J].Int Braz J Urol,2013,39(5):692-700.
|
[13] |
汤春波,温海涛,齐勇,等.经皮肾镜取石术相关尿脓毒症预防及治疗[J].中国内镜杂志,2014,20(6):662-665.
|
[14] |
黄洁夫,湛海伦,刘小彭,等.尿源性脓毒血症的防治[J].中华临床医师杂志(电子版),2012,6(7):1897-1899.
|
[15] |
Wei W,Leng J,Shao H,et al.Diabetes,a risk factor for both infectious and major complications after percutaneous nephrolithotomy[J].Int J Clin Exp Med,2015,8(9):16620-16626.
|
|
|
|