|本期目录/Table of Contents|

[1]张艳涛,刘晓龙,刘桂彬,等.经皮肾镜取石术围手术期全身炎症反应综合征的影响因素[J].天津医科大学学报,2015,21(04):321-323.
　ZHANG Yan-tao,LIU Xiao-long,LIU Gui-bin,et al.Influence factors of systemic inflammatory response syndrome in perioperative percutaneous nephrolithotomy surgery[J].Journal of Tianjin Medical University,2015,21(04):321-323.
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
21卷
期数:
2015年04期
页码:
321-323
栏目:
临床医学
出版日期:
2015-07-15

文章信息/Info

Title:
Influence factors of systemic inflammatory response syndrome in perioperative percutaneous nephrolithotomy surgery
文章编号:
1006-8147（2015）04-0321-03
作者:
张艳涛; 刘晓龙; 刘桂彬; 崔 喆
(天津医科大学总医院泌尿外科,天津 300052)
Author(s):
ZHANG Yan-tao;  LIU Xiao-long;  LIU Gui-bin;  CUI Zhe
(Department of Urology, General Hospital, Tianjin Medical University Tianjin 300070,China)
关键词:
肾结石; 细菌培养; 全身炎症反应综合征; 经皮肾镜
Keywords:

kidney stones;  bacterial culture;  systemic inflammatory response syndrome;  percutaneous nephrolithotomy

分类号:
R69
DOI:
-
文献标志码:
A
摘要:
 目的: 比较上尿路结石患者术前尿培养及术中肾盂尿、结石培养结果，探讨围手术期全身炎症反应综合征(SIRS)的影响因素。方法: 收集 210例行经皮肾镜手术（PCNL）患者临床资料，术前均留取中段尿培养，术中留取肾盂尿，采用标准化Stamey法留取结石标本，分别行细菌培养，对术后发生SIRS者依据结石培养结果选择抗生素。根据术后是否发生SIRS分为A组和B组。结果: 年龄、结石大小、手术时间、性别、体质量指数、结石取石成功率等在两组中无明显统计学差异；术前尿培养、肾盂尿培养及结石培养在A组的阳性率分别为66.7%、46.7%、44.4%，其中3例发生感染性休克，3种培养均为阳性。在B组中的阳性率分别为13.9%、6.1%、5.5%。结论: 术前尿培养、术中肾盂尿培养及结石培养对术后SIRS的发生起到很好地预测作用，术中肾盂尿及结石培养对术后抗生素的选择提供依据。
Abstract:

Objective: To predict the impact factors for preoperative and intraoperative occurrence of systemic inflammatory response syndrome (SIRS) comparing the pre-surgery patients with urinary calculi, Pelvis surgery urine culture and stone culture results were compared. Methods: Two hundred and ten patients underwent percutaneous nephrolithotomy surgery and preoperative urine culture specimens, intraoperative urine specimens from the renal pelvis, bacterial specimens stone specimens were studied using a standardized method. Stamey Cultivation of postoperative SIRS culture results were based on calculus choice of antibiotics. Postoperative SIRS (A group) had 45 cases (21.4%) and SIRS (group B) 165 patients (78.5%) were divided according to the results. Results: Age, stone size, operation time, gender, body mass index, stone success rate were not significantly different in both groups; preoperative urine culture, urine culture and renal pelvis stones culture positive rate in group A were 66.7%, 46.7%, 44.4%, respectively; Positive rates in group B were 13.9%, 6.1%, 5.5%, respectively; three cases had septic shock and all cultures were positive. Conclusion: Preoperative urine culture, pelvis surgery urine culture and stone culture on postoperative SIRS have a very good predictive function and pelvis surgery on postoperative urine and stone cultures can be a good choice for selecting antibiotics.

参考文献/References:

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相似文献/References:

[1]刁呈文,史启铎.联合压电晶体碎石机治疗输尿管镜术后肾结石的临床研究[J].天津医科大学学报,2015,21(05):439.

备注/Memo

备注/Memo:

作者简介 张艳涛（1986-），男，硕士在读，研究方向：泌尿外科尿石症；

通信作者：崔喆，E-mail：cuizhe9505@sina.com。

 

更新日期/Last Update: 2015-07-17