现代妇产科进展2025，Vol.34Issue(7)：498-502,5.DOI:10.13283/j.cnki.xdfckjz.2025.07.004
良性子宫疾病患者行全子宫切除术后尿路感染的发生率及相关危险因素分析
Examination of the frequency and associated risk factors of urinary tract infections fol-lowing total hysterectomy in patients with benign uterine conditions
摘要
Abstract
Objective:To investigate the prevalence and associated risk factors of uri-nary tract infection(UTI)following total hysterectomy in patients with benign uterine condi-tions,and to establish a foundation for clinical prevention and management.Methods:A total of 187 patients who underwent total hysterectomy at the Department of Gynecology,First Affiliated Hospital of the University of Science and Technology of China,from January 2024 to December 2024,were prospectively included.A prospective cohort design with a single group was utilized.The occurrence and risk factors of urinary tract infections were assessed with standard urine an-alyses,ICIQ-FLUTS,and UDI-6 questionnaires prior to and within six weeks post-surgery.Uni-variate and multivariate logistic regression analyses were employed to examine the associated factors.The findings were reported as odds ratios(OR),95%confidence intervals(CI),and receiver operating characteristic(ROC)curves.Results:Of the 187 patients,34 experienced u-rinary tract infections within 6 weeks post-surgery,yielding an incidence rate of 18.2%(95%CI:12.7%～23.7%).Univariate analysis indicated that prior pelvic surgery,a history of UTI,prolonged indwelling urinary catheterization,post-void residual urine volume(PVR)exceeding 30mL,and intraoperative blood loss greater than 30mL were risk factors for postoperative UTI.Multivariate logistic regression analysis indicated that intraoperative blood loss exceeding 30mL(OR=2.68,95%CI:1.09～6.60,P=0.032),postoperative residual urine greater than 30mL(OR=3.84,95%CI:1.49～9.87,P=0.005),a history of prior pelvic surgery(OR=2.96,95%CI:1.16～7.52,P=0.023),a history of previous urinary tract infections(OR=3.92,95%CI:1.53～10.03,P=0.004),and the duration of indwelling urinary catheterization(OR=1.53,95%CI:1.15～2.04,P=0.004)were identified as independent risk factors for urina-ry tract infections following total hysterectomy.Conclusion:Urinary tract infections following complete hysterectomy are prevalent urological consequences post-surgery.Intraoperative blood loss over 30mL,PVR greater than 30mL,a history of prior UTI,a history of pelvic surgery,and the length of indwelling urinary catheterization are independent risk factors.Preventive treat-ments should be implemented clinically to decrease the occurrence of postoperative UTI.关键词
全子宫切除术/尿路感染/良性子宫疾病/危险因素Key words
Total hysterectomy/Urinary tract infection/Benign uterine diseases/Risk factor分类
医药卫生引用本文复制引用
沈迎丽,蔡巧云,方政,彭程..良性子宫疾病患者行全子宫切除术后尿路感染的发生率及相关危险因素分析[J].现代妇产科进展,2025,34(7):498-502,5.基金项目
安徽省教育厅重点项目(No:2024AH052046) （No:2024AH052046）
合肥市自然科学基金项目(No:HZR2442) （No:HZR2442）
2024年安徽省临床医学研究转化专项(No:S202427b10024722) （No:S202427b10024722）
安徽省重点研究与开发项目(No:202004j07020016) （No:202004j07020016）
