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在逆行性内外科手术中,在lithotripsy期间使用抗生素灌进行脏收集系统灭菌的新协议:一个前性,比较性研究
Ali Kaan Yildiz1, Arif Bayraktar2, Turgay Kacan1
1Department of Urology, Ankara City Hospital, Ankara, Turkey.
World journal of urology
|April 10, 2024
概括
在逆行性内手术 (RIRS) 期间的抗生素灌有效降低了术后发烧和SIRS. 这种用于脏收集系统灭菌的新方案在降低RIRS手术期间的感染并发症方面显示出前景.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染病管理 传染病管理
- 手术创新 在外科创新.
背景情况:
- 泌尿道感染 (UTI) 是泌尿器科手术后的一个重大问题.
- 逆行性内手术 (RIRS) 涉及石,这可能会增加感染的风险.
- 在RIRS期间杀菌收集系统对于患者的安全至关重要.
研究的目的:
- 引入和评估一种使用抗生素灌的新方案,用于RIRS石.
- 评估抗生素灌在实现脏收集系统无菌性的有效性.
- 确定本协议对传染性并发症的影响.
主要方法:
- 进行了一项前性研究,涉及102名接受RIRS的患者.
- 患者被分为两组:抗生素灌 (盐水中的珍胺) 和标准盐水灌.
- 测量结果包括手术后发烧,尿路感染,SIRS,败血症和无结石率.
主要成果:
- 抗生素灌组显示,手术后发烧 (p=0.05) 和SIRS (p=0.05) 的统计显著降低.
- 在标准灌组中,一名患者发生了败血症,但在抗生素灌组中没有发生过.
- 两组之间在手术前的特征或无结石率上没有发现显著差异.
结论:
- 在RIRS石术期间用抗生素灌是一种可靠和有效的新方案.
- 这种方法有助于杀脏收集系统.
- 该协议有可能显著减少与RIRS相关的传染性并发症.
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