摘要
目的观察经皮肾镜碎石患者术后感染的临床特点及治疗效果。方法选择2015年4月至2016年7月我院收治的103例接受经皮肾镜碎石的术后感染患者为观察组,选择同期入院接受经皮肾镜碎石手术但术后未发生感染患者103例为对照组。采用自制问卷调查表调查两组患者的基本情况,对感染患者给予对症支持及抗生素治疗,分析经皮肾镜碎石患者术后感染的临床特点及治疗效果。结果经皮肾镜碎石患者多发性和鹿角形结石、术前尿路感染率、术中灌注压力≥120 k Pa、结石直径≥2 mm及手术时间≥60 min,与术后感染发生率密切相关,差异有统计学意义(P<0.05)。结论经皮肾镜碎石患者术后感染率较高,影响因素较多,术后应积极控制尿路感染,根据患者情况给予抗生素治疗,提高临床治疗效果。
Objective To observe the clinical characteristics of postoperative infection for patients underwent percutaneous nephrolithotomy and its therapeutic effect.Methods From April 2015 to July 2016,103 patients suffered infection percutaneous nephrolithotomy were enrolled in this study,they were divided into observation group. Another 103 patients received percutaneous nephrolithotomy but without infection were chose as control group. The self-designed questionnaire was used to investigate the basic situation of the two groups.Symptomatic support and antibiotic treatment were given to the infected patients. The clinical characteristics and the therapeutic effect of percutaneous nephrolithotomy were analyzed. Results Multiple stones and staghorn calculi,preoperative urinary tract infection rate,intraoperative perfusion pressure greater than or equal to 120 Kpa,stone diameter greater than or equal to 2 mm and operation time greater than or equal to 60 minutes,were positively correlated to postoperative infection（P 〈0. 05）. Conclusions Percutaneous nephrolithotripsy has a higher rate of postoperative infection and has many influential factors. Postoperative urinary tract infections should be actively controlled. Antibiotics should be given according to the patient ＇ s condition to improve the clinical curative effect.
出处
《齐齐哈尔医学院学报》
2017年第11期1301-1302,共2页
Journal of Qiqihar Medical University
关键词
碎石术
感染
临床疗效
Percutaneous nephrolithotripsy
Infection
Clinical effect
