输尿管软镜碎石术后尿源性脓毒血症的危险因素分析
吴林斌 1陈武 1杨均 1陈大可1
作者信息
摘要
目的 分析输尿管软镜碎石术后尿源性脓毒血症的危险因素.方法 回顾性分析2015年1月至2020年1月139例行输尿管软镜碎石术的临床资料,术后出现尿源性脓毒血症13例为脓毒血症组,术后未出现尿源性脓毒血症126例为非脓毒血症组,采用Logistic回归分析术后引发脓毒血症的危险因素.结果 Logistic回归分析结果显示,手术时间>120 min、结石直径>16 mm、术前未使用抗生素、术前存在发热、尿路感染为输尿管软镜碎石术后引发尿源性脓毒血症的独立危险因素(P<0.05).结论 输尿管软镜碎石术应尽量控制手术时间<120 min,对于术前发热、术前尿路感染患者应当尽早给予抗生素治疗,结石直径>16 mm,应分期处理或者选择其他治疗方式.
Abstract
Objective To analyze the risk factors for urinary sepsis after ureteroscopic lithotripsy.Methods From January 2015 to January 2020,139 patients who underwent flexible ureteroscopic lithotripsy in our hospital were divided into the sepsis group(n=13)and non-sepsis group(n= 126)according to whether urinary sepsis occurred after the operation.The clinical routine test indexes before and after the operation were collected,and the risk factors were evaluated by Logistic regression analysis.Results The logistic regression analysis showed that surgery time>120 minutes,stone diameter>16 mm,no use of antibiotics before surgery,preoperative fever,and urinary tract infection were independent risk factors for urinary sepsis after ureteroscopic lithotripsy.Conclusion The surgical time of ureteroscopic lithotripsy should be controlled within 120 minutes as much as possible.For the patients with preoperative fever and preoperative urinary tract infection,they should be given antibiotics as soon as possible.For the patients with stone diameter greater than 16 mm,staged treatment or other treatment options should be chosen.
关键词
输尿管软镜/尿源性脓毒血症/治疗/危险因素Key words
Flexible ureteroscope/Urinary sepsis/Treatment/Risk factors引用本文复制引用
基金项目
浙江省温州市科技局公益性科技项目(Y20210928)
出版年
2024
NETL
NSTL
万方数据