经皮肾镜取石术前测定血清降钙素原和尿细菌学培养的临床价值  

The Clinical Value of Serum Calcitonin and Urinary Bacteriology was Determined by Percutaneous Nephrolithotomy

作　　者：潘家强 覃展偶 徐宾 韦开禄 刘文振 黄耀 余家寅 潘高宇 

机构地区：[1]桂林医学院第二附属医院泌尿外科,广西桂林541199

出　　处：《医学与哲学（B）》2017年第10期39-41,共3页Medicine & Philosophy(B)

基　　金：2016年广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z2016041)

摘　　要：探讨在经皮肾镜取石术前测定降钙素原和尿细菌学培养在临床中的应用价值。根据全身炎症反应综合征诊断标准将患者分为全身炎症反应组36例和非全身炎症反应组49例,用统计学方法分析各因素对经皮肾镜取石术术后发生全身炎症反应综合征的影响。单因素分析结果显示第一时间血清PCT水平高、术前尿培养阳性与尿源性全身炎症反应综合征的发生有关(P均<0.05)。多因素分析结果显示第一时间血清PCT值阳性、术前尿培养阳性与全身炎症反应综合征的发生相关(P均<0.05)。经皮肾镜取石术术后出现全身炎症反应综合征受诸多因素影响,术前测定降钙素原和尿细菌学培养对术前病情评估及预防全身炎症反应综合征方面具有较高的临床应用价值。To evaluate the application value of calcitonin and Urinary bacteriology in clinical pnephrolithotomy. According to the patients with systemic inflammatory response syndrome diagnostic criteria will bedivided into groupof 36 cases of systemic inflammationand a group of 49 cases of unsystem i c inflammation,the two groups of patients＇ age ; gender ; location ; serum creatinine ; stones load ; chanml size ; operation time ; PCT value and the result of urine bacteria culture were compared. The effects of various factors on systemic inflammatory response syndromeafter percutaneous nephrolithotomy were analyzed by statistical methods. The results of single factor analythe serum PCT level was high; the preoperative urine culture was positive% the operation time was greater than 120 min and the occurrence of the systemic inflammatory reaction syndrome （P〈0. 05）. The results of multi-factor analysis showed that the positive serum PCT value was positive in the first time; and the preoperative uwith the occurrence of systemic inflammatory reaction syndrome （ P 〈 0. 05 ）. Percutaneous nephrolithotomy in postoperative systemic inflammatory response syndrome is influenced by many factors% preoperative determination of calcitonin and urinary bacteriology in primary culture of preoperative condition assessmentinflammatory response syndrome has high clinical value.

关 键 词：经皮肾镜取石术 降钙素原 尿细菌学培养 全身炎症反应综合征 

分 类 号：R693.4[医药卫生—泌尿科学]