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タイトル: | 経尿道的結石破砕術後の有熱性尿路感染症に影響する因子の検討 |
その他のタイトル: | A Study of Factors Affecting Febrile Urinary Tract Infection Following Ureterorenoscopic Lithotripsy |
著者: | 堀, 俊介 山崎, 智也 藤尾, 圭 大槻, 英男 中島, 耕一 三井, 要造 |
著者名の別形: | HORI, Shunsuke YAMASAKI, Tomoya FUJIO, Kei OTSUKI, Hideo NAKAJIMA, Koichi MITSUI, Yozo |
キーワード: | Lithotripsy TUL URSL Pyelonephritis Febrile urinary tract infection |
発行日: | 30-Apr-2023 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 69 |
号: | 4 |
開始ページ: | 101 |
終了ページ: | 106 |
抄録: | Febrile urinary tract infection (f-UTI) is a common complication after ureterorenoscopic lithotripsy (URSL) but is sometimes lethal. In this article, we analyzed the factors of post URSL f-UTI. We retrospectively evaluated the association between the development of f-UTI and patients, stones, and perioperative factors in 695 cases in which URSL was performed at our institution from September 2015 to 2018. Seventy-six of the 695 patients (10.9%) had postoperative f-UTI. Elderly (p=0.013), female (p=0.02), and hypertension (p=0.001) patients had significantly higher rates of f-UTI. Renal stone (p=0.001) cases showed significantly higher rates of f-UTI. Preoperative urine positive culture (p=0.045), preoperative f-UTI (p<0.001), URSL procedure using flexible ureteroscopy (p=0.048), non-stone-free (p=0.006), long operation time (p=0.011), preoperative urinary stent insertion due to preoperative f-UTI (p<0.001), were factors associated with post-operative f-UTI. Multivariate analysis revealed that hypertension (OR=2.08, p=0.008) and preoperative f-UTI (OR=3.739, p=0.033) were independent factors of postoperative f-UTI. Patients with hypertension or preoperative f-UTI should be managed more carefully during the perioperative period, suspecting that they are more likely to develop postoperative f-UTI. |
著作権等: | 許諾条件により本文は2024-05-01に公開 |
DOI: | 10.14989/ActaUrolJap_69_4_101 |
URI: | http://hdl.handle.net/2433/282078 |
PubMed ID: | 37183040 |
出現コレクション: | Vol.69 No.4 |
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