盖子之外:通过倾向匹配精度揭露后fURS发烧的真正预测因素
Peng Zhu1, Xi Hua2, Xiang Teng1
1Department of Urology, Jiangdu People's Hospital Affiliated to Yangzhou University, Yangzhou, Jiangsu, China.
World journal of urology
|October 4, 2025
概括
没有尿管接入 (UAS) 的灵活尿道透视 (fURS) 是安全的,显示类似的发烧率. 阳性尿液培养,高C反应蛋白 (CRP) 和白细胞 (WBC) 计数预测fURS后的术后发烧.
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:
- 柔性尿道透视 (fURS) 是一种常见的治疗上道结石的方法.
- 手术后发烧是fURS后的一个担忧.
- 尿道接入 (UAS) 在传染性并发症中的作用受到辩论.
研究的目的:
- 评估fURS的术前和术后结果.
- 评估UAS使用对结果的影响.
- 确定fURS后手术后发烧的预测因素.
主要方法:
- 在486名接受fURS.患者的回顾性队列研究中.
- 倾向分数匹配 (PSM) 创建了平衡的UAS (n=150) 和非UAS (n=150) 组.
- 使用了单变量,多变量逻辑回归和ROC分析.
主要成果:
- 在UAS和非UAS组之间可比的术后发烧率 (12%对9.3%).
- 无人机使用与更长的住院时间 (中位数为5天而不是4天) 有关.
- 独立发烧预测因子:术前尿液培养呈阳性,术后CRP升高,术后白血球计数增加.
结论:
- 没有UAS的fURS在选定的患者中是安全的,发烧风险没有显著增加.
- 监测手术前的尿培养和手术后的CRP/WBC有助于早期发烧预测和干预.
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