在日本高等院校进行小型内镜联合内外科手术后的传染性并发症
Takahiko Watanabe1, Hiroki Ito1,2, Tetsuo Fukuda3
1Department of Urology, Yokosuka Kyosai Hospital, Yokosuka, Japan.
概括
女性患者面临更高的风险感染性并发症,包括发烧和感染性休克,经过迷你内镜联合内手术 (ECIRS) 和尿道结石. 外科医生应密切监测这些患者.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 感染性并发症 感染性并发症
背景情况:
- 脏和尿路结石很常见,通常需要手术干预.
- 迷你内镜联合内手术 (迷你ECIRS) 是一种最小的侵入性方法来去除石头.
- 了解传染性并发症风险对于患者安全至关重要.
研究的目的:
- 确定小型ECIRS后感染并发症的独立风险因素.
- 在接受小ECIRS的患者中分析术后发烧和败血症休克的预测因素.
主要方法:
- 在三个日本机构 (2015-2021) 进行一次性迷你ECIRS的1035名患者的回顾性分析.
- 收集了关于患者人口统计,石头特征和术后结果的数据.
- 多变量逻辑回归用于识别发烧 (≥38°C) 和败血性休克的危险因素.
主要成果:
- 手术后发烧发生在26.4%的患者中,而败血症发生在2.0%的患者中.
- 发烧的独立预测因素包括女性性别,尿道结石,手术前发烧,手术前尿道感染,手术前瘤切除和更长的手术时间.
- 女性性别是感染性休克的唯一确定的危险因素.
结论:
- 在迷你ECIRS之后,女性性别是手术后发烧和败血症休克的重要危险因素.
- 在接受迷你ECIRS的女性患者中,需要加强对感染并发症的警.
- 这项研究为迷你ECIRS中传染性并发症的风险分层提供了宝贵的见解.
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