CAJ | 학술논문

[目的]探讨经皮肾镜取石（PCNL）术中肾盂尿培养细菌分布及其临床意义。[方法]对408例行经皮肾镜取石术的上尿路结石患者，术前作中段尿培养，术中取肾盂尿作细菌培养和药物敏感试验，分析细菌种类及其耐药谱，比较术后发热的发生率。[结果]408例术前中段尿培养阳性率9．8％（40/408），术中肾盂尿培养阳性率18．4％（75/408），两组阳性率比较有显著性差异（ P ＜0．05）；培养细菌以大肠埃希菌、葡萄球菌属、变形杆菌属为主；肾盂尿培养阳性者与阴性者，术后发热比率分别为为49．3％（37/75）和12．6％（42/333），两者有显著差异（ P ＜0．05）。[结论]PCNL术中肾盂尿培养阳性对预测患者术后发热有重要意义，肾盂尿细菌培养及药敏试验有助于其临床处理和合理应用抗生素。
[목적]탐토경피신경취석（PCNL）술중신우뇨배양세균분포급기림상의의。[방법]대408례행경피신경취석술적상뇨로결석환자，술전작중단뇨배양，술중취신우뇨작세균배양화약물민감시험，분석세균충류급기내약보，비교술후발열적발생솔。[결과]408례술전중단뇨배양양성솔9．8％（40/408），술중신우뇨배양양성솔18．4％（75/408），량조양성솔비교유현저성차이（ P ＜0．05）；배양세균이대장애희균、포도구균속、변형간균속위주；신우뇨배양양성자여음성자，술후발열비솔분별위위49．3％（37/75）화12．6％（42/333），량자유현저차이（ P ＜0．05）。[결론]PCNL술중신우뇨배양양성대예측환자술후발열유중요의의，신우뇨세균배양급약민시험유조우기림상처리화합리응용항생소。
[Objective] To explore the bacterial distribution of renal pelvic urine culture during percutane-ous nephrolithotomy(PCNL) and its significance .[Methods] Totally 408 patients with upper urinary tract cal-culi undergoing PCNL were enrolled in the study .Mid-stream urine culture before operation and intraoperative renal pelvic urine culture were carried for bacterial culture and susceptibility test .The bacteria types and anti-biotic resistance spectrum were analyzed .The incidence of postoperative fever was compared .[Results] A-mong 108 patients ,the positive rate of pre-operative mid-stream urine culture was 9 .8% (40/408) ,while the positive rate of intraoperative mid-stream renal pelvic urine culture were 18 .4% (75/408) ,and there was sig-nificant difference( P <0 .05) .The predominant bacteria were Escherichia coli ,Staphylococcus and Proteus . The post-operative fever ratios of patients with positive and negative renal pelvic urine culture were 49 .3%(37/75) and 12 .6% (42/333) respectively ,and there was significant difference( P<0 .05) .[Conclusion]The positive intraoperative renal pelvic urine germiculture has important significance for predicting the occurrence of fever of patients after PCNL .Renal pelvic urine culture and bacterial susceptibility test are helpful for clini-cal treatment and rational selection of antibiotics .