前列腺等离子双极电切术后尿路感染的危险因素及其对预后的影响研究
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摘要
目的探讨前列腺等离子双极电切术后尿路感染的危险因素及其对预后的影响。方法选取本院泌尿外科2014年1月~2016年7月收治的100例经尿道前列腺等离子双极电切术治疗的良性前列腺增生症患者的临床资料作为研究对象。对术后尿路感染情况及其危险因素进行分析。结果 (1)16.0%的术后尿路感染的发生率(16/100);(2)18例送检样本,病原菌检出率为88.89%(16/18),共检出52株病原菌,其中以大肠埃希菌最多;(3)糖尿病、术前导尿术、尿导管留置时间长以及应用预防抗菌药物是术后尿路感染发生的危险因素。结论糖尿病、术前导尿术、尿导管留置时间长以及应用预防抗菌药物促进术后尿路感染的发生,临床治疗中应注意,尽量减少术后尿路感染的发生。
Objective To investigate the urinary tract infection's risk factors and it's effect on prognosis after bipolar plasmakinetic resection of prostate.Methods The clinical data of 100 patients who were diagnosed with benign prostatic hyperplasia and received transurethral plasmakinetic resection of prostate in the department of urology surgery in our hospital from January 2014 to July 2016 were the research object.The situation of urinary tract infection and it's risk factors after the operation was analyzed.Results(1) The incidence of urinary tract infection was 16.0%(16/100);(2)In 18 cases submitted samples,the detection rate of pathogenic bacteria was 88.89%(16/18).52 strains of bacteria were checked,Escherichia coli accounted for the most;(3)diabetes,preoperative catheterization,long urinary catheter indwelling time and the application of preventive antibiotics were risk factors.Conclusion Diabetes,leading urinary surgery,long urinary catheter indwelling time and application of prevention antibacterial drugs can promote urinary tract after operation.We should pay attention to it and try to reduce the incidence of urinary tract infection.
Objective To investigate the urinary tract infection's risk factors and it's effect on prognosis after bipolar plasmakinetic resection of prostate.Methods The clinical data of 100 patients who were diagnosed with benign prostatic hyperplasia and received transurethral plasmakinetic resection of prostate in the department of urology surgery in our hospital from January 2014 to July 2016 were the research object.The situation of urinary tract infection and it's risk factors after the operation was analyzed.Results(1) The incidence of urinary tract infection was 16.0%(16/100);(2)In 18 cases submitted samples,the detection rate of pathogenic bacteria was 88.89%(16/18).52 strains of bacteria were checked,Escherichia coli accounted for the most;(3)diabetes,preoperative catheterization,long urinary catheter indwelling time and the application of preventive antibiotics were risk factors.Conclusion Diabetes,leading urinary surgery,long urinary catheter indwelling time and application of prevention antibacterial drugs can promote urinary tract after operation.We should pay attention to it and try to reduce the incidence of urinary tract infection.
引文
[1]赵雪桃,陈文璞,刘辉,等.经尿道前列腺等离子双极电切术与经尿道前列腺电切术治疗老年良性前列腺增生的临床疗效及安全性[J].中国老年学杂志,2013,33(21):5449-5450.
[2]刘绍虔,米其武,张志刚,等.经尿道前列腺等离子双极电切术后尿路感染及其危险因素分析[J].西部医学,2015,27(2):252-254.
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[4]Kates M,Ball MW,Patel HD,et al.Bipolar Vaporization,Resection,and Enucleation Versus Open Prostatectomy:Optimal Treatment Alternatives in Large Prostate Cases?[J].Journal of Endourology,2015,29(3):317-322.
[5]范瀚文,欧长伟,谢庆伟,等.经尿道前列腺等离子双极电切术治疗前列腺增生813例[J].广西医科大学学报,2014,31(5):820-821.
[6]谢文锋,潘杰,黄莉梅,等.经尿道前列腺等离子双极电切术与前列腺电切术在良性前列腺增生患者中的应用效果[J].中国医药科学,2015,5(12):116-118.
[7]龚豪.经尿道前列腺等离子双极电切术治疗良性前列腺增生症的效果观察[J].医学理论与实践,2015,28(20):2727-2729.
[8]Lashley EELO,Meuleman T,Claas FHJ.Beneficial or Harmful Effect of Antipaternal Human Leukocyte Antibodies on Pregnancy Outcome?A Systematic Review and Meta-Analysis[J].American Journal of Reproductive Immunology,2013,70(2):87-103.
[9]赵小佩.经尿道前列腺电切术后发生尿路感染的危险因素分析[J].中华医院感染学杂志,2013,23(12):2878-2880.
[10]Cornu JN,Ahyai S,Bachmann A,et al.A Systematic Review and Meta-analysis of Functional Outcomes and Complications Following Transurethral Procedures for Lower Urinary Tract Symptoms Resulting from Benign Prostatic Obstruction:An Update[J].European Urology,2015,67(6):1066-1096.
[11]吴涛,沈洪,冷国雄,等.老年经尿道等离子前列腺切除术患者术后发生尿路感染的危险因素[J].中国老年学杂志,2015,35(10):2773-2774.
[12]Soh MC,Nelsonpiercy C.Update of the management of rheumatoid arthritis in pregnancy[J].Expert Review of Obstetrics&Gynecology,2014,7(1):77-96.
[2]刘绍虔,米其武,张志刚,等.经尿道前列腺等离子双极电切术后尿路感染及其危险因素分析[J].西部医学,2015,27(2):252-254.
[3]El-Tabey M,Abo-Taleb A,Abdelal A,et al.Outcome of Transurethral Plasmakinetic Vaporization for Benign Prostatic Hyperplasia[J].International Braz J Urol,2015,41(2):239-244.
[4]Kates M,Ball MW,Patel HD,et al.Bipolar Vaporization,Resection,and Enucleation Versus Open Prostatectomy:Optimal Treatment Alternatives in Large Prostate Cases?[J].Journal of Endourology,2015,29(3):317-322.
[5]范瀚文,欧长伟,谢庆伟,等.经尿道前列腺等离子双极电切术治疗前列腺增生813例[J].广西医科大学学报,2014,31(5):820-821.
[6]谢文锋,潘杰,黄莉梅,等.经尿道前列腺等离子双极电切术与前列腺电切术在良性前列腺增生患者中的应用效果[J].中国医药科学,2015,5(12):116-118.
[7]龚豪.经尿道前列腺等离子双极电切术治疗良性前列腺增生症的效果观察[J].医学理论与实践,2015,28(20):2727-2729.
[8]Lashley EELO,Meuleman T,Claas FHJ.Beneficial or Harmful Effect of Antipaternal Human Leukocyte Antibodies on Pregnancy Outcome?A Systematic Review and Meta-Analysis[J].American Journal of Reproductive Immunology,2013,70(2):87-103.
[9]赵小佩.经尿道前列腺电切术后发生尿路感染的危险因素分析[J].中华医院感染学杂志,2013,23(12):2878-2880.
[10]Cornu JN,Ahyai S,Bachmann A,et al.A Systematic Review and Meta-analysis of Functional Outcomes and Complications Following Transurethral Procedures for Lower Urinary Tract Symptoms Resulting from Benign Prostatic Obstruction:An Update[J].European Urology,2015,67(6):1066-1096.
[11]吴涛,沈洪,冷国雄,等.老年经尿道等离子前列腺切除术患者术后发生尿路感染的危险因素[J].中国老年学杂志,2015,35(10):2773-2774.
[12]Soh MC,Nelsonpiercy C.Update of the management of rheumatoid arthritis in pregnancy[J].Expert Review of Obstetrics&Gynecology,2014,7(1):77-96.