[1]赵振华,赵国平,郑东升,等.输尿管软镜碎石术后尿脓毒血症的危险因素分析[J].中华腔镜泌尿外科杂志(电子版),2018,12(01):16-19.[doi:10.3877/cma.j.issn.1674-3253.2018.01.005 ]
 Zhao Zhenhua,Zhao Guoping,Zheng Dongsheng,et al.Risk factors of urosepsis following flexible ureteroscopy with holmium laser[J].,2018,12(01):16-19.[doi:10.3877/cma.j.issn.1674-3253.2018.01.005 ]
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输尿管软镜碎石术后尿脓毒血症的危险因素分析()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
12卷
期数:
2018年01期
页码:
16-19
栏目:
临床研究
出版日期:
2018-01-31

文章信息/Info

Title:
Risk factors of urosepsis following flexible ureteroscopy with holmium laser
作者:
赵振华赵国平郑东升陈仕杰石志坚李岱辛玉宏
529000 广东,南方医科大学附属江门医院泌尿外科
Author(s):
Zhao ZhenhuaZhao Guoping Zheng Dongsheng Chen Shijie Shi Zhijian Li Dai Xin Yuhong.
Department of Urology, Jiangmen hospital Affiliated to Southern Medical University, Jiangmen 529000, China
关键词:
输尿管软镜 肾结石 尿脓毒血症 危险因素
DOI:
10.3877/cma.j.issn.1674-3253.2018.01.005
摘要:
目的 探讨输尿管软镜联合钬激光治疗肾结石术后发生尿脓毒血的危险因素。方法回顾性分析南方医科大学附属江门医院自2015 年1 月至2016 年9 月期间66 例输尿管软镜术后患者的临床资料。对患者的一般资料进行收集整理,统计分析输尿管软镜术后尿脓毒血症的危险因素。结果 66 例肾结石患者均顺利完成输尿管软镜联合钬激光碎石手术,术后9 例(13.6%)患者发生尿脓毒血症。术后尿脓毒血症危险因素的单因素分析中,脓尿、结石大小、手术持续时间、感染性结石有统计学意义(P<0.05)。在对包括年龄、性别、糖尿病史、高血压病史、结石手术史、肾功能不全、肾盂积水、术前尿细菌培养、结石大小、脓尿、手术持续时间、感染性结石等作为自变量的多因素Logistic回归分析中,术后尿脓毒血症的危险因素有脓尿(P=0.019),手术持续时间(P=0.021),感染性结石(P=0.032)。结论 脓尿、手术持续时间、感染性结石是输尿管软镜碎石术后尿脓毒血症的危险因素。

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备注/Memo

备注/Memo:
基金项目:广东省江门市科技计划项目江科[2016]99 号
通讯作者:赵振华,Email:zzh2012@126.com
更新日期/Last Update: 2018-02-25