期刊文献+

PCNL术前中段尿与术中肾盂尿和结石培养的相关性及术后SIRS的相关影响因素 被引量:5

Correlation among preoperative midstream urine, renal pelvic urine and stone culture in PCNL and the influencing factors of the SIRS
分享 导出
摘要 目的:探讨经皮肾镜取石术(PCNL)术前中段尿与术中肾盂尿和结石培养之间的关系及这三者的培养结果对术后治疗全身炎症反应综合征(SIRS)的指导意义.同时分析术后SIRS的相关影响因素。方法:选取2012年4月~2013年2月行PCNI。的上尿路结石患者64例。男34例,女30例,所有患者均行术前中段尿、术中肾盂尿及结石培养。同时对各项临床因素进行回归分析,明确与SIRS发生率之间的关系。结果:64例患者手术均顺利完成,其中术后发生SIRS的患者为21例。术前中段尿培养阳性率为26.6%,肾盂尿培养阳性率为17.2%,结石培养阳性率为37.5%。中段尿培养与肾盂尿、结石培养的结果存在一致性。在多元回归模型中,结石培养和鹿角形结石与术后SIRS的发生存在相关性。结论:常规的术前中段尿培养能够反映和预测术中肾盂尿及结石培养的结果。对于感染性结石及存在其他高危SIRS因素的患者,留取中段尿、肾盂尿及结石培养有助于术后针对性地应用抗生素。 Objective: To investigate the correlation among preoperative midstream urine, renal pelvic urine and stone culture in pereutaneous nephrolithotomy (PCNL) and to study the influencing factors of systemic in- flammatory response syndrome (SIRS). Method: From April 2012 to February 2013, 64 patients (34 males and 30 females) underwent PCNL. Preoperative midstream urine, intraoperative renal pelvic urine and stones speci mens were cultured. Regression analysis was done to identify clinical variables associated with SIRS. Result: PCNL of 64 cases were performed successfully. SIRS appeared in 21 cases postoperatively. The result of preopera- tive midstream urine culture was positive in 17 cases (26.6 %), intraoperative renal pelvic urine culture was posi- tive in 11 cases (17.2%) and stone culture was positive in 24 cases (37.5%). The consistency of the above re- suits were shown. In multiple regression analyses, stone culture and stag-horn calculi were significant prediction of SIRS postoperatively. Conclusion: Preoperative midstream urine culture could predict the results of intraopera rive renal pelvic urine and stone culture. The result of preoperative midstream urine, intraoperative renal pelvic u- rine and stone specimens culture could give directions for antibiotics using in patients at risk of SIRS, particularly those with stag-horn calculi or any other high risk factors.
作者 李声宏 张军晖 牛亦农 田溪泉 邢念增 LI Shenghong ZHANG Junhui NIU Yinong TIAN Xiquan XING Nianzeng (Department of Urology, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, 100020, China)
出处 《临床泌尿外科杂志》 2013年第12期912-914,917共4页 Journal of Clinical Urology
关键词 经皮肾镜取石术 全身炎症反应综合征 肾盂尿 结石培养 percutaneous nephrolithotomy systemic inflammatory response syndrome renal pelvic urine stone culture
作者简介 通信作者:邢念增,E-mail:nianzeng2006@vip.sina.com
  • 相关文献

参考文献14

  • 1Michel M S, Trojan L, Rassweiler J J. Complications in percutaneous nephrolithotomy[J]. Eur Urol, 2007, 51(4):899-906, 906. 被引量:1
  • 2潘建刚,阎家俊,唐爱娟,骆振刚,周毅.微创经皮肾镜碎石术中肾盂压力变化与术后早期并发症发生率的关系[J].临床泌尿外科杂志,2008,23(11):816-818. 被引量:32
  • 3Weedin J W, Coburn M, Link R E. The impact of proximal stone burden on the management of encrusted and retainedureteralstents[J]. J Urol, 2011, 185(2): 542-547. 被引量:1
  • 4Mariappan P, Smith G, Bariol S V, et al. Stone and pelvic urine culture and sensitivity are better than blad- der urine as predictors of urosepsis following percuta- neous nephrolithotomy., a prospective clinical study[J]. J Urol, 2005, 173(5):1610-1614. 被引量:1
  • 5Gutierrez J, Smkh A, Geavlete P, et al. Urinary tract infections and post-operative fever in percutaneous nephrolithotomy[J]. WorldJ Urol, 2013, 31(5):1135-1140. 被引量:1
  • 6Gravas S, Montanari E, Geavlete P, et al. Postopera- tive infection rates in low risk patients undergoing per- cutaneous nephrolithotomy with and without antibiotic prophylaxis- a matched case control study[J]. J Urol, 2012, 188(3):843-847. 被引量:1
  • 7Lojanapiwat B, Kitirattrakarn P. Role of preoperative and intraoperative factors in mediating infection eompli cation following percutaneous nephrolithotomy [J]. Urol Int, 2011, 86(4):448-452. 被引量:1
  • 8Margel D, Ehrlieh Y, Brown N, et al. Clinieal implica- tion of routine stone culture in percutaneous nephro- lithotom a prospective study [J]. Urology, 2006, 67 (1):26-29. 被引量:1
  • 9Kumar S, Bag S, Ganesamoni R, et al. Risk factors for urosepsis following percutaneous nephrolithotomy., role of 1 week of nitrofurantoin in reducing the risk of urosepsis[J]. UrolRes, 2012, 40(1):79-86. 被引量:1
  • 10Korets R, Graversen J A, Kates M, et al. Post-Percu- taneous nephrolithotomy systemic inflammatory re- sponse- a prospective analysis of preoperative urine, re- nal pelvic urine and stone cultures[J]. J Urol, 2011, 186(5):1899-1903. 被引量:1

二级参考文献11

  • 1Lingeman J E, Newmark J R, Wong M Y C. Classifica tion and management of staghorn calculi. In:Smith AD, editor. Controversies inendourology[M]. Philadelphia: Saunder; 1995. 136-144. 被引量:1
  • 2Kunin M. Bridging septa of the perinphric space: Anatomic, pathologic, and diagnostic considerations [J ]. Radiology, 1986,158 : 361- 365. 被引量:1
  • 3Aron M, Yadav R, Goel R, et al. Multi-tract percutaneous nephrolithotomy for large complete staghorn calculi[J]. Urol Int, 2005,75:327-332. 被引量:1
  • 4Vorrakitpokatorn P, Permtongchuchai K, Raksamani E O, et al. Perioperative complications and risk factor of percutaneous nephrolithotomy[J]. J Med Assoc Thai, 2006, 89: 826-833. 被引量:1
  • 5Dogan H S, Sahin A, Cetinkaya Y, et al. Antibiotic prophilaxis in percutaneous nephrolithotomy: Prospec rive study in 81 patients[J]. J Endourol, 2002,16 : 649 -653. 被引量:1
  • 6Takeuchi H, Ueda M, Nonomura M, et al. Fever attack in percutaneous nephrolithotomy and transurethral ureterolithotripsy[J]. Hinyokika Kiyo, 1987, 33: 1357 -1363. 被引量:1
  • 7Troxel ScottA. Low Roger K. Renal intrapelvic pressure during percutaneous nephrolithotomy and itscorre lation with the developmen postoperative fever[J]. J Urol, 2002,168,1348-1351. 被引量:1
  • 8Tiselius HG,Ackermann D,Alken P,et al.Guidelines on urolithiasis[].European Urology.2001 被引量:1
  • 9Rassweiler JJ,Renner C,Eisenberger F.The management of complex renal stones[].BJU International.2000 被引量:1
  • 10Meretyk S,Gofrit O N,Gafni O,et al.Complete staghorn calculi: random prospective comparison between extracorporeal shock wave lithotripsy monotherapy and combined with percutaneous nephrostolithotomy[].The Journal of Urology.1997 被引量:1

共引文献33

同被引文献51

  • 1周炫辰,金讯波.经皮肾镜取石术后感染性休克的高危因素分析[J].泌尿外科杂志(电子版),2012(1):29-32. 被引量:13
  • 2叶章群.泌尿系结石研究现况与展望[J].中华实验外科杂志,2005,22(3):261-262. 被引量:225
  • 3邓立琴,丁风兰,刘红.全麻术后躁动225例分析[J].实用医学杂志,2006,22(2):165-167. 被引量:280
  • 4魏武,葛京平,马宏青,张征宇,周文泉,周水根,王冬,高建平.经皮肾镜钬激光碎石术全身炎症反应综合征发生的相关因素[J].临床泌尿外科杂志,2007,22(4):264-266. 被引量:121
  • 5Moe OW.Kidney stones:pathophysiology and medical management [J].Lancet, 2006,367 (9507) : 333-344. 被引量:1
  • 6Al-Kohlany KM, Shokeir AA,Mosbah A,etal.Treatment of complete staghom stones:a prospective randomized comparison of open surgery versus percutaneous nephmlithotomy[J].J Urol, 2005,173 (2) : 469-473. 被引量:1
  • 7Draqa RO,Kok ET,Sorel MR,et al.Percutaneous nephrolithotomy: factors associated with fever after the first postoperative day and sys- temic inflammatory response syndrome[J].J Endourol,2009,23 (6) : 921- 927. 被引量:1
  • 8Bone RC,Balk RA,Cerra FB,et al.Definitions for sepsis and organ failure and guidelines for the of use of innovative therapies in sepsis The ACCP/SCCM Consensus Conference Committee.American College of Chest Physicians/Society of Critical Care Medicine[J].Chest,1992, 101 (6) : 1644-1655. 被引量:1
  • 9Gonen M,Turan H,Ozturk B,et al.Factors affecting fever follow- ing percutaneous nephvolithotomy:a prospective clinic study[J].J Endo- urol. 2008,22(9), 2135-2138. 被引量:1
  • 10Kumar S,Bag S,Ganesanoni R,et al.Risk factors for urosepsis following percutaneous nephrolithotomy:role of 1 week of nitrofurantoin in reducing the risk of urosepsis[J].Urol Res, 2012,40( 1 ):79-86. 被引量:1

引证文献5

二级引证文献4

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈