急性损伤作为迷你PCNL后传染性并发症的预测因素
Angelo Cormio1,2, Daniele Castellani1,3, Domenico De Palma2
1Urology Unit Azienda Ospedaliero-Universitaria delle Marche Ancona Italy.
BJUI compass
|September 9, 2025
概括
急性损伤 (AKI) 发生在9.1%的患者中,经过迷你穿皮瘤切除术 (迷你PCNL). AKI显著增加了术后并发症和感染风险,强调需要谨慎监测和管理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术并发症 手术并发症
背景情况:
- 急性损伤 (AKI) 是泌尿外科手术后的潜在并发症.
- 迷你透皮瘤切除术 (迷你PCNL) 是一种微创手术,用于切除结石.
- 了解小型PCNL后的AKI发病率和后果对于患者的治疗结果至关重要.
研究的目的:
- 为了确定小型PCNL后AKI的发病率和风险因素.
- 调查AKI的临床后果,特别是与感染并发症的关联.
- 确定AKI发展和手术后感染并发症的预测因素.
主要方法:
- 对496名接受迷你PCNL的成年患者的回顾性分析.
- 根据KDIGO标准定义的AKI基于手术后72小时内血清肌素变化.
- 多变量后勤回归用于识别AKI和传染性并发症的预测因素.
主要成果:
- AKI发生率为9.1% (45名患者).
- 患有AKI患者的整体术后并发症率较高 (24.4%vs7.1%),住院时间较长.
- AKI是传染性并发症的独立预测因素 (OR 3.47),具有增加的前素水平和一个与败血症相关的死亡.
结论:
- 迷你PCNL后的AKI与术后并发症和感染风险显著增加有关.
- 之前的PCNL和较高的基线血清肌素是AKI的独立预测因子.
- 建议加强术后监测和传染性并发症的管理,以 AKI 后迷你-PCNL 的患者.
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