大通道经皮肾镜取石术并发重症感染的相关因素分析

目的分析大通道经皮肾镜取石术后并发重症感染的相关因素,探讨其防治措施。方法回顾性分析386例行大通道经皮肾镜取石术的结石患者的临床资料;对患者年龄,是否合并尿路感染,糖尿病,结石大小、手术时间等情况与术后并发重症感染发生率的相关性进行分析。结果本组病例中15.0%的患者术后并发重症感染,重症感染率与患者术前合并糖尿病、存在尿路感染、手术时间、结石负荷有关,而与年龄、性别、肾功能、既往手术史等因素无明显的相关性。结论临床上可制定针对上述相关因素的预防措施来降低大通道经皮肾镜取石术术后并发重症感染率。

Related Factors for Severe Infections after Big Channel Percutaneous Nephrostolithotomy

Objective To analyze the related factors and preventive measures of severe infection after big channel percutaneous nephrolithotomy. Methods The clinical data of 386 patients with big channel percutaneous nephrolithotomy were analyzed retrospectively. The correlation between the incidence of postoperative severe infection and the patients’ age, urinary tract infection or not, diabetes mellitus, stone size, operation time were analyzed. Results 15% patients had severe infection after operation in this study, severe infection rate had correlation with preoperative diabetes, urinary tract infection, operation time and stone status, but had no significant correlation wiht age, gender, renal function and operation history. Conclusions Clinical preventive measures can be developed for the aboved related factors to reduce infection rate of severe postoperative complications by big channel percutaneous nephrolithotomy.