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目的 :建立多元回归方程 ,了解根治性膀胱全切、去带盲升结肠储尿囊、阑尾或回肠输出道可控膀胱术后上尿路感染的发病因素。方法 :通过对医院 1995～ 1998年行根治性膀胱全切去带盲升结肠储尿囊可控膀胱术患者的问卷式随访 ,多因素逐步回归分析尿流改道后上尿路感染的发病危险因素。结果 :门坎值F =3.84,引入变量 ,回归方程 :0 .6 32 +0 .40 5X2 1- 0 .0 94X11- 0 .5 2X19+0 .2 44X7- 0 .15 4X9。结论 :膀胱全切盲升结肠储尿囊尿流改道后 ,肾盂和 (或 )输尿管积水、自主生活能力下降、日间导尿间歇过长易引起上尿路感染 ,而定期的储尿囊冲洗及导尿管消毒对上尿路具有保护性作用。
OBJECTIVE: To establish a multiple regression equation to understand the incidence of upper urinary tract infection after radical bladder resection, blind ascending colon storage and storage, and appendix or ileal output tract controlled bladder surgery. Methods: According to the questionnaire follow-up of patients who underwent radical bladder resection with blind ascending colonic vesicle during 1995-1998, multi-factor regression was used to analyze the risk factors of upper urinary tract infection after urinary diversion . Results: The threshold value F = 3.84, the introduction of variables, regression equation: 0 .6 32 +0 .40 5X2 1- 0 .0 94X11- 0 .5 2X19 +0 .2 44X7-0 .15 4X9. Conclusions: Urine diversion of the renal pelvis and / or ureter after autologous bladder blind ascending colon urinary diversion, decreased autonomic viability, and intermittent catheterization during daytime may lead to upper urinary tract infection. However, Flushing and catheter disinfection of the upper urinary tract has a protective effect.