摘要
目的:探讨输尿管硬镜治疗上尿路结石疗效及术后并发泌尿系统感染的危险因素分析。方法:选取2018年5月-2020年2月本院收治的230例上尿路结石患者,均实施输尿管硬镜治疗,根据术后并发泌尿系统感染情况分为感染组30例和未感染组200例,分析其治疗效果;并收集230例患者基础资料,采用Logistic回归分析术后引发泌尿系统感染的危险因素。结果:230例上尿路结石患者经输尿管硬镜治疗后显效160例、有效60例、无效10例,临床有效率为95.65%。感染组与非感染组对比,患者年龄、结石直径、出血量、合并糖尿病、手术时间、导尿管留置时间、术前感染、抗生素使用等差异均有统计学意义(P<0.05)。Logistic回归分析结果证实:年龄≥50岁、结石直径≥5 mm、有糖尿病史、出血量≥15 mL、手术时间≥50 min、使用抗生素≥2种、术前感染、导尿管留置时间≥10 d为并发泌尿系统感染的危险因素。结论:输尿管硬镜治疗上尿路结石应积极控制患者合并的基础疾病,缩短手术时间,规范使用抗菌药物,尽可能降低术后感染发生率。
Objective:To analyze the risk factors of urinary system infection after ureteroscopic treatment of upper urinary tract calculi.Methods:230 upper urinary tract calculi patients of undergoing the ureteroscopic treatment from May 2018 to February 2020 in our hospital were selected.According to the occurrence of urinary system infection,patients were divided into infection group(30 cases)and non-infection group(200 cases).Logistic regression equation was applied to analyze the risk factors of urinary system infection.Results:According to single factor analysis,age,diameter of calculus,bleeding volume,complication of diabetes mellitus,operation time,urethral cathether indwelling time,preoperative infection and antibiotics between infection group and non-infection group were significantly different(P<0.05);according to multi-factor analysis,the risk factors of urinary system infection included age,large diameter of calculus,large bleeding volume,complication of diabetes mellitus,long operation time and urethral cathether indwelling time,preoperative infection and multiple antibiotics(P<0.05).Conclusion:After ureteroscopic treatment,the risk factors of urinary system infection include age and preoperative infection,etc.Therefore,the strengthened management can avoid the postoperative infection.
作者
徐良
XU Liang(Urinary Surgery Department,The People’s Hospital Of Hebi,Hebi 458030,China)
出处
《包头医学院学报》
CAS
2021年第12期32-34,62,共4页
Journal of Baotou Medical College
关键词
泌尿系统感染
上尿路结石
输尿管硬镜
危险因素
ureteroscope
upper urinary tract calculi
urinary system
infection
risk factors
