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微创泌尿外科杂志  2018, Vol. 7 Issue (6): 398-400    DOI: 10.19558/j.cnki.10-1020/r.2018.06.009
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预防性使用抗生素在膀胱镜输尿管支架取出术中应用效果研究
顾一唯1, 宋尔霖1, 安瑞华1
1哈尔滨医科大学附属第一医院泌尿外科 150006 哈尔滨
Effect of prophylactic antibiotics in cystoscopic ureteral stent removal
Gu Yiwei1, Song Erlin1, An Ruihua1
1Department of Urology, First Affiliated Hospital of Harbin Medical University, Harbin 150006, China
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摘要 目的 研究预防性使用抗生素在膀胱镜输尿管支架取出术中应用临床效果。方法 回顾性对比分析2017年6月~2018年3月期间进行膀胱镜下输尿管支架去除术的78患者资料,术前分别接受抗生素预防用药及不接受抗生素预防用药。将上述患者随机分为两组,每组患者为39例,即接受抗生素预防用药组(观察组)和不接受抗生素预防用药组(对照组)。评估支架移除后4周内有症状尿路感染(UTI)的发展情况。结果 观察组2例(5%)出现UTI,对照组没有患者出现UTI(P=0.15),差异无统计学意义。结论 在预防UTI方面,膀胱镜输尿管支架取出术前应用抗生素并没有取得显著性临床疗效,预防性使用抗生素可能并非必需。
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顾一唯
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关键词 肾结石泌尿外科手术尿路感染输尿管支架    
AbstractObjective: To investigate the clinical effect of prophylactic antibiotics in cystoscopic ureteral stent removal. Methods: A total of 78 patients undergoing cystoscopic ureteral stent removal were retrospectively analyzed in this study. Each cohort consisted of 39 subjects: with and without prophylactic antibiotics before stent removal. The primary outcome assessed was development of symptomatic urinary tract infection (UTI) within 4 weeks after stent removal. Results: Two patients in the antimicrobial cohort (5%) developed a UTI and none of the patients who did not receive antimicrobial prophylaxis developed a UTI (P=0.15). The difference was not statistically significant. Conclusions: In our cohort study antimicrobial prophylaxis before cystoscopic stent removal did not appear to provide a significant benefit in UTI prevention. Antimicrobial prophylaxis may be not necessary for cystoscopic stent removal.
Key wordskidney calculi    urologic surgical procedures    urinary tract infection    stents
收稿日期: 2018-07-25     
ZTFLH:  R692  
通讯作者: 安瑞华,ruihuaan@126.com   
引用本文:   
顾一唯, 宋尔霖, 安瑞华. 预防性使用抗生素在膀胱镜输尿管支架取出术中应用效果研究[J]. 微创泌尿外科杂志, 2018, 7(6): 398-400.
Gu Yiwei, Song Erlin, An Ruihua. Effect of prophylactic antibiotics in cystoscopic ureteral stent removal. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2018, 7(6): 398-400.
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