腹腔镜尿路利他切除术后泌尿道感染的危险因素
Xiaoliang Yuan1, Hanping Wei1, Xiaowu Liu1
1Department of Urology, Wujin Hospital Affiliated to Jiangsu University, Wujin Clinical College of Xuzhou Medical University Changzhou 213000, Jiangsu, China.
American journal of translational research
|March 17, 2025
概括
年龄较大,手术时间较长,导管使用时间长,糖尿病和长时间住院增加了腹腔镜尿路利索切除术后泌尿道感染的风险. 识别这些因素有助于预防手术后感染.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术感染 手术感染
- 医疗信息学 医疗信息学
背景情况:
- laparoscopic尿道利索托美是结石的一种常见手术.
- 泌尿道感染是这种手术后的严重并发症.
- 识别风险因素对于有效的患者管理和感染预防至关重要.
研究的目的:
- 为了调查和分析与腹腔镜尿路利索托美术后泌尿道感染相关的独立风险因素.
- 开发和验证用于评估术后泌尿道感染风险的预测性名录.
主要方法:
- 对312名经历了腹腔镜尿路结石切除术的患者进行了回顾性分析.
- 单变量和多变量回归分析以确定泌尿道感染的关键风险因素.
- 使用已识别的风险因素,用C指数和校准图表评估的临床名录的构建和验证.
主要成果:
- 泌尿道感染的独立风险因素包括年龄>75岁,手术时间≥60分钟,术后导管停留时间>7天,糖尿病和住院时间>7天.
- 一个预测名ogram 构建了极好的准确性,根据校准图表和高一致性索引所示.
- 开发的回归模型证明了用于预测感染风险的临床适用性.
结论:
- 年龄,手术持续时间,术后导管,糖尿病和住院时间长度是尿道感染后的显著独立风险因素.
- 开发的诺米图谱为预测高风险患者感染风险提供了有价值的工具.
- 针对已识别的风险因素的有针对性的监测和管理策略可以帮助减少手术后泌尿道感染的发生率.
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