Analysis of the risk factors of fever after ureteroscopic holmium laser lithotripsy

doi:10.3877/cma.j.issn.1674-3253.2019.02.005

Abstract

Abstract:

Objective

To explore the risk factors of fever after ureteroscopic holmium laser lithotripsy for ureteral calculi.

Methods

568 patients with ureteral calculi and received ureteroscopic holmium laser lithotripsy in our hospital from Jan 2013 to Dec 2016 were selected in this study. Investigate the risk factors of fever after ureteroscopic holmium laser lithotripsy in ureteral calculi patients.

Results

After the operation, 60 cases of fever were found (10.56%). Risk factors of fever in patients with ureteral calculi after ureteroscopic holmium laser lithotripsy were female (OR=1.266, 95%CI=1.106~1.865, P=0.02), preoperative uric leukocytosis (OR=2.296, 95%CI=1.856~5.156, P<0.01), preoperative urine bacterial culture positive (OR=1.115, 95%CI=1.005~1.568, P<0.01), long perfusion time (OR=1.226, 95%CI=1.098~1.704, P=0.03), long operative time (OR=1.328, 95%CI=1.167~1.969, P=0.03).

Conclusion

For women patients with preoperative uric leukocytosis, preoperative positive urine culture, long infusion time, long operation time, we should pay attention to prevention and treatment of fever after ureteroscopic holmium laser lithotripsy.

Key words: Ureteroscopy, Holmium laser, Ureteral calculi, Fever, Multivariate logistic regression analysis

Fei Gao, Lin Luo. Analysis of the risk factors of fever after ureteroscopic holmium laser lithotripsy[J]. Chinese Journal of Endourology(Electronic Edition), 2019, 13(02): 91-94.

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URL: https://zhqjmnmwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-3253.2019.02.005

https://zhqjmnmwkzz.cma-cmc.com.cn/EN/Y2019/V13/I02/91

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References 13

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组别	例数	性别（例）		年龄（岁，±s ）	BMI （kg/m²，±s ）	吸烟（例）	嗜酒（例）	糖尿病（例）	高血压（例）
组别	例数	男	女	年龄（岁，±s ）	BMI （kg/m²，±s ）	吸烟（例）	嗜酒（例）	糖尿病（例）	高血压（例）
发热	60	22	38	51±18	24.9±1.3	11	10	11	13
未发热	508	302	206	50±18	25.1±1.3	104	97	100	112
统计值	?	χ²=11.37		t=-0.54	0t=1.16	χ²=0.15	χ²=0.21	χ²=0.06	χ²=0.05
P值	?	<0.01		-0.59	000.25	0.7	0.65	0.80	0.95
因素	高血脂（例）	结石位置（例）			结石数量（例）		结石部位（例）				结石直径（mm，±s ）	肾积水程度（例）
		结石位置（例）			结石数量（例）		结石部位（例）					左	右	双侧	单发	多发	上端	中端	下端	多个部位	轻度	中度	重度
		发热	12	24	26	10	21	39	4	9		8	39	13±5	32	18	10
未发热	124	175	202	131	190	318	35	75	80	318	10±4	310	105	93
统计值	χ²=0.57	χ²=0.25			χ²=0.13		χ²=0.44				t=-3.86	χ²=0.55
P值	0.45	0.68			0.72		0.51				<0.01.	0.48
因素	术前尿白细胞计数（个/μl，±s ）	术前尿培养细菌（例）		术前预防使用抗生素（例）	灌注时间（min，±s ）	手术时间（min，±s ）	术中出血量（ml，±s ）
因素	术前尿白细胞计数（个/μl，±s ）	阳性	阴性	术前预防使用抗生素（例）	灌注时间（min，±s ）	手术时间（min，±s ）	术中出血量（ml，±s ）
发热	42±10	15	45	4	104±31	69±21	357±103
未发热	21±9	70	438	311	082±24	54±19	290±113
统计值	t=-15.59	χ²=5.31		χ²=64.65	t=-5.39	t=-5.12	t=-4.77
P值	.<0.001	0.02		<0.001	<0.001	<0.001	<0.001

组别	例数	性别（例）		年龄（岁，±s ）	BMI （kg/m²，±s ）	吸烟（例）	嗜酒（例）	糖尿病（例）	高血压（例）
组别	例数	男	女	年龄（岁，±s ）	BMI （kg/m²，±s ）	吸烟（例）	嗜酒（例）	糖尿病（例）	高血压（例）
发热	60	22	38	51±18	24.9±1.3	11	10	11	13
未发热	508	302	206	50±18	25.1±1.3	104	97	100	112
统计值	?	χ²=11.37		t=-0.54	0t=1.16	χ²=0.15	χ²=0.21	χ²=0.06	χ²=0.05
P值	?	<0.01		-0.59	000.25	0.7	0.65	0.80	0.95
因素	高血脂（例）	结石位置（例）			结石数量（例）		结石部位（例）				结石直径（mm，±s ）	肾积水程度（例）
		结石位置（例）			结石数量（例）		结石部位（例）					左	右	双侧	单发	多发	上端	中端	下端	多个部位	轻度	中度	重度
		发热	12	24	26	10	21	39	4	9		8	39	13±5	32	18	10
未发热	124	175	202	131	190	318	35	75	80	318	10±4	310	105	93
统计值	χ²=0.57	χ²=0.25			χ²=0.13		χ²=0.44				t=-3.86	χ²=0.55
P值	0.45	0.68			0.72		0.51				<0.01.	0.48
因素	术前尿白细胞计数（个/μl，±s ）	术前尿培养细菌（例）		术前预防使用抗生素（例）	灌注时间（min，±s ）	手术时间（min，±s ）	术中出血量（ml，±s ）
因素	术前尿白细胞计数（个/μl，±s ）	阳性	阴性	术前预防使用抗生素（例）	灌注时间（min，±s ）	手术时间（min，±s ）	术中出血量（ml，±s ）
发热	42±10	15	45	4	104±31	69±21	357±103
未发热	21±9	70	438	311	082±24	54±19	290±113
统计值	t=-15.59	χ²=5.31		χ²=64.65	t=-5.39	t=-5.12	t=-4.77
P值	.<0.001	0.02		<0.001	<0.001	<0.001	<0.001

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