Analysis of key issue of diagnosis and treatment of perioperative urinary tract infection in PCNL
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摘要: 经皮肾镜取石术(PCNL)是目前治疗>2 cm上尿路结石的“金标准”,围手术期合并尿路感染是PCNL术后引发尿源性感染相关并发症的重要危险因素,围手术期准确、高效的诊断尿路感染不仅对预判术后感染具有重要价值,更对制定抗菌药物的应用策略具有指导意义。本文旨在结合当前国内外研究现状,对PCNL围手术期尿路感染的诊断、治疗及临床意义进行总结,探讨PCNL围手术期关于尿路感染仍需注意的关键问题以及今后需要关注的方向。Abstract: Percutaneous nephrolithotomy(PCNL) is the "gold standard" for the treatment of upper urinary tract calculi larger than 2 cm. Perioperative urinary tract infection is an important risk factor for infection-related complications after PCNL. Accurate and efficient diagnosis of perioperative urinary tract infection in PCNL could not only predict postoperative infection, but also direct antimicrobial medicine application strategy. In current issue, the status quo of nowadays of diagnosis and treatment of perioperative urinary tract infection in PCNL, as well as the clinical significance are summarized. Furthermore, the key problems related to the perioperative urinary tract infection in PCNL are explored and the future direction in this field are considered accordingly.
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Key words:
- percutaneous nephrolithotomy /
- urinary tract infection /
- diagnosis /
- treatment /
- antimicrobial medicine
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