Urology Department, Hospital Universitario "Dr. José Eleuterio González," Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Monterrey, México.
Facultad de Medicina, Hospital Universitario "Dr. José Eleuterio González," Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Monterrey, México.
Urologia. 2023 May;90(2):220-223. doi: 10.1177/03915603221107135. Epub 2022 Jun 28.
Xanthogranulomatous pyelonephritis is an inflammatory disease characterized by chronic obstruction and infection. This pathology is a life-threatening condition when surgical treatment is carried out. We decided to retrospectively evaluate whether there were perioperative factors that predict complications in patients who undergo nephrectomy.
We reviewed all nephrectomies done in the period of 2013-2018, in a tertiary referral Hospital with the histopathological diagnosis of Xanthogranulomatous Pyelonephritis.
The presence of renal abscess at admission was observed as a risk factor associated with perioperative complications ( = 0.002), presence of abscess was observed in 47.4% of subjects without complications compared to 89.3% of the perioperative complication group. Higher rates of blood transfusion requirement were observed in the perioperative complication group, 89.3% compared to 68.4% ( = 0.029), furthermore, perioperative bleeding was slightly greater in the complication group compared to its counterpart, 700 mL, and 600 mL, respectively ( = 0.01).
Anemia and the presence of abscess were important perioperative factors that predict perioperative complications.
黄色肉芽肿性肾盂肾炎是一种以慢性梗阻和感染为特征的炎症性疾病。当进行手术治疗时，这种病理状况会危及生命。我们决定回顾性评估行肾切除术的患者是否存在预测围手术期并发症的因素。
我们回顾了 2013 年至 2018 年期间在一家三级转诊医院进行的所有肾切除术，这些手术均有黄色肉芽肿性肾盂肾炎的组织病理学诊断。
入院时存在肾脓肿被视为与围手术期并发症相关的危险因素（=0.002），无并发症组中 47.4%的患者存在脓肿，而围手术期并发症组中 89.3%的患者存在脓肿。围手术期并发症组需要输血的比例更高，为 89.3%，而 68.4%（=0.029）。此外，并发症组的围手术期出血略高于对照组，分别为 700ml 和 600ml（=0.01）。
贫血和脓肿的存在是预测围手术期并发症的重要围手术期因素。
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