[1]李子祥,盛一帆,夏斌,等.肾盂尿培养、结石培养在经皮肾镜取石术后感染诊治中的临床意义[J].徐州医科大学学报,2020,40(11):820-824.[doi:10.3969/j.issn.2096-3882.2020.11.009]
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肾盂尿培养、结石培养在经皮肾镜取石术后感染诊治中的临床意义()
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《徐州医科大学学报》[ISSN:2096-3882/CN:32-1875/R]

卷:
40
期数:
2020年11期
页码:
820-824
栏目:
出版日期:
2020-11-25

文章信息/Info

Title:
Clinical significance of renal pelvis urine culture and stone culture in the diagnosis and treatment of infection after PCNL
作者:
李子祥 盛一帆 夏斌 刘子颉 房前 王军起
徐州医科大学附属医院泌尿外科,江苏 徐州 221002
关键词:
肾结石 肾盂尿培养 结石培养 全身炎症反应综合征 经皮肾镜取石术
DOI:
10.3969/j.issn.2096-3882.2020.11.009
文献标志码:
A
摘要:
目的 探讨肾盂尿培养、结石培养在经皮肾镜取石术(PCNL)后感染诊治中的临床应用价值.方法 回顾性分析2017年5月—2019年12月于徐州医科大学附属医院接受PCNL术治疗的88例患者资料.所有患者术前行中段尿培养、术中留取肾盂尿及结石送培养.分析培养结果与术后发生全身炎症反应综合征(SIRS)、感染性休克的关系.组间比较应用x2检验.结果 88例患者,男54例,女34例;中段尿培养阳性19例(21.6%),肾盂尿培养/结石培养阳性14例(15.9%),最常见细菌分别为大肠杆菌和奇异变形菌;中段尿培养阴性69例中,10例(14.5%)肾盂尿培养/结石培养阳性.术后发生SIRS 30例,感染性休克5例.相比男性,女性术后更易发生SIRS(分别为50.0%、24.5%,P=0.012).SIRS患者中肾盂尿培养/结石培养阳性比例高于非SIRS患者,分别为26.7%、10.3%(P=0.066).休克组中40%的患者存在肾盂尿培养/结石培养阳性,显著高于非休克组(13.3%,P=0.027).结论 肾盂尿培养/结石培养阳性对术后发生SIRS、感染性休克具有重要的预测价值,常规行肾盂尿与结石培养,对于PCNL术后感染的诊治有积极意义.
Abstract:
ob<x>jective: To explore the clinical value of renal pelvis urine culture and stone culture in the diagnosis and treatment of infection after percutaneous nephrolithotomy (PCNL).Methods: The data of 88 patients who underwent PCNL in our hospital from May 2017 to December 2019 were analyzed retrospectively. All patients underwent preoperative mid-stream urine culture, intraoperative renal pelvis urine culture and stone culture. The relationship between the culture results and postoperative systemic inflammatory response syndrome (SIRS) and septic shock was analyzed. Comparison between groups was done using c2 testResults: There were 88 patients, including 54 males and 34 females. Among them, 19 (21.6%) were positive in mid-stream urine culture and 14 (15.9%) were positive in renal pelvis urine culture / stone culture. The most common bacteria were Escherichia coli and Proteus mirabilis respectively. Among the 69 patients with negative mid-stream urine culture, 10 (14.5%) were positive in renal pelvis urine culture / stone culture. Thirty patients developed SIRS and five developed septic shock after PCNL. Compared with males, females were more likely to develop SIRS after PCNL (50.0%, 24.5%, respectively) (P=0.012). The positive rate of renal pelvis urine culture / stone culture in SIRS patients was higher than that in non-SIRS patients, which was 26.7% and 10.3%, respectively (P=0.066). In the shock group, 40% of patients had positive renal pelvis urine culture / stone culture, which was significantly higher than that in the non-shock group, 13.3% (P=0.027).Conclusions: The positive of renal pelvis urine culture / stone culture has more important predictive value for postoperative SIRS and septic shock. Routine renal pelvis urine and stone culture have positive significance for the diagnosis and treatment of infection after PCNL.
更新日期/Last Update: 2020-12-15