在阻塞性急性肌炎治疗后,早期与延迟的尿路甲基流症
Huseyin Ozgur Kazan1, Muhammet Cicek2, Hulya Caskurlu3
1Department of Urology, Istanbul Medeniyet University Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Istanbul, Türkiye.
Urologia
|November 27, 2023
概括
在急性肺炎 (APN) 后早期进行尿路利索,会增加术后尿路感染 (UTI) 的风险. 延迟的石头去除与APN患者的尿路感染率较低有关.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
背景情况:
- 阻塞性急性肺炎 (APN) 往往需要去除石头,但尿道结石的最佳时间尚未确定.
- 早期干预与延迟的石头去除策略相比,需要对术后结果进行比较分析.
研究的目的:
- 为了研究早期与延迟尿路甲基缩对术后尿路感染 (UTI) 和阻塞性APN治疗后其他并发症的影响.
主要方法:
- 一项回顾性研究比较了91名在阻塞性APN后接受尿路利索的患者.
- 患者被分为早期 (住院期间) 和延迟 (出院后3个月内) 的治疗组.
- 评估的结果包括无石头状态,并发症,尿道感染和尿道感染率.
主要成果:
- 早期尿道利三症组的术后尿路感染率显著更高 (29.4%与8.7%,p=0.045).
- 在CT上中度/重度的周周周围脂肪分离 (PFS) 和升高的白细胞计数与更高的尿路感染率有关.
- 早期尿路利索和中度/严重的PFS被确定为术后尿路感染的独立预测因素.
结论:
- 在阻塞性APN治疗后的早期尿路利索是术后尿路感染的危险因素.
- 在非对比CT上中度/严重的周围脂肪浅也独立地预测了手术后的尿路感染.
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