首页
期刊简介
编 委 会
期刊订阅
百年学会 医星璀璨
名院风范
学科风华
菁英风采
投稿须知
过刊浏览
联系我们
篇名
关键词
作者
作者单位
摘要
关键词
注册本刊作者
作者投稿查稿
专家远程审稿
编辑在线审稿
编务办公专区
主编办公专区
下载文档
《上海医学》审稿费代缴委托书
《上海医学》杂志2024年征订启事回执
《上海医学》期刊编审系统审稿专家使用手册
工作动态
03-05
《上海医学》杂志2024年度“春蕾杯”论文评比征文通知
06-14
创新驱动,培育人才—《上海医学》2021年度春蕾计划评审结果揭晓
01-21
《上海医学》期刊影响力指标和学科排名取得显著提升
01-20
《上海医学》恭祝大家新年快乐!
08-18
作废声明
联系方式
发行周期:
月刊
主管单位:
上海市卫生健康委员会
主办单位:
上海市医学会
编辑出版:
《上海医学》编辑部
联系地址:
上海市北京西路1623号
邮编:
200040
电话:
021-62178606
传真:
021-62178606
邮箱:
smasmj@shsma.org.cn
ISSN:
ISSN0253-9934
CN:
CN31-1366/R
收款账号:
1001255309008900719
账户名:
上海市医学会
开户行:
工商银行上海市静安寺支行
友情链接
上海市医学会
当前位置:首页 >
MPCNL术中结石细菌培养的临床价值
Clinical implication of routine stone bacterial culture in percutaneous nephrolithotomy
浏览(649) 下载(1)
DOI:
作者:
肖日海 刘佛林 邹晓峰 袁源湖 伍耿青 王晓宁 龙大治
Xiao Rihai, Liu Folin, Zou Xiaofeng, et al.
作者单位:
赣南医学院第一附属医院泌尿外科 江西省尿路结石现代治疗中心 江西 赣州 341000
Department of Urology, First Affiliated Hospital of Gannan Medical University, Jiangxi Provincial Modern Treatment Center of Urolithiasis, Ganzhou, Jiangxi, 341000, China
关键词:
结石;尿;细菌培养;微创经皮肾镜取石术
Calculi; Urine; Bacterial culture; Minimally invasive percutaneous nephrolithotomy
摘要:
【摘 要】目 的 探讨微创经皮肾镜取石术(MPCNL)术前中段尿培养(urine culture, UC)和术中结石培养(stone culture, SC)之间的关系以及SC的临床价值。 方 法 回顾分析2009年1月至2009年5月80例MPCNL患者术前UC及术中SC的临床资料。所有UC阳性的患者术前均进行了静脉抗生素治疗。分别记录UC及SC培养结果、术后全身炎症反应综合征(systemic inflammatory response syndrome, SIRS)发生的情况、抗生素的应用以及根据SC结果进行抗生素调整的情况。 结 果 80例患者中21例(26.75%)SC及UC无菌生长。9例(11.25%)UC有菌生长而SC无菌生长。23例(28.75%)UC和SC均培养出细菌生长,23例中18例(22.50%)UC和SC培养出了不同的病原菌生长。27例(33.75%)UC培养无菌生长但在SC培养中培养出了细菌生长。19例(23.75%)术后出现了SIRS,均根据SC的结果进行了术后抗生素的调整。结 论 SC比UC更能准确反应泌尿系感染的真实情况;术后应根据术中SC培养的结果调整抗生素的应用。 【关键词】结石;尿;细菌培养;微创经皮肾镜取石术
【Abstract】Objective To evaluate the correlation and value of preoperative urine culture (UC) and intraoperative stone culture (SC). Methods UC and intraoperative stone fragmented SC were prospectively obtained in 80 patients undergoing minimally invasive percutaneous nephrolithotomy between January 2009 and May 2009. Patients with a positive UC received a full course of antibiotics before surgery. All postoperative systemic inflammatory response syndrome (SIRS) events were recorded, as was the antibiotic regimen used and any changes in antibiotic treatment secondary to the SC results. Results The study group consisted of 80 consecutive patients. Of these 80 patients, 21 (26.75%) had sterile UC and SC results, 9 (11.25%)had sterile SC and UC positive results.27(33.75%) had sterile UC and SC positive results. Both urine and renal stones were colonized in 23 patients (28.75%). One of them, the UC and SC showed different pathogens. A different colonized SC associated with positive UC was found in 18 (22.50%) patients among the 23 patients. Nineteen patients (23.75%) had postoperative SIRS. All of them, a change in antibiotic treatment was made according to the SC findings. Conclusion Intraoperative SC can be more exactly representative for the urinary stone-colonizing bacteria infection than preoperative UC. Intraoperative SC may be essential in directing the antibiotic regimen postoperatively and should be routinely used. 【Key words】Calculi; Urine; Bacterial culture; Minimally invasive percutaneous nephrolithotomy;
点击下载DOC全文