JOURNAL OF CLINICAL SURGERY ›› 2021, Vol. 29 ›› Issue (4): 376-378.doi: 10.3969/j.issn.1005-6483.2021.04.022
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Abstract: Objective:To investigate the impact of sex on sepsis after ureteroscopy (URS).Method:We retrospectively enrolled 759 proximal ureteral stone patients in our hospital.The ogistic regression analysis was used to evaluate the influence of sex on postoperative sepsis.Results:In univariate analysis, female patients were more likely to develop sepsis (OR=3.498,P<0.05).However, sex had no statistical relationship with sepsis after adjustment of urine culture.For the adjustment of other factors,the odds ratio of sex ranged from 3.010 to 3.768 (P<0.05).Multivariate analysis showed that sex was not significantly related to postoperative sepsis while positive urine culture was significantly associated with increased sepsis rate(OR=12.042,P<0.05).Conclusion:Female patients are more likely to develop sepsis after URS.It may be due to the high bacteriuria prevalence in female group.Therefore, a detailed urinary evaluation is needed for female patients before surgery to optimize surgical strategy to reduce the occurrence of sepsis.
Key words: ureteroscopy, sex, urinary tract infection, sepsis
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