目的：探讨多因素综合分析在输尿管结石患者围术期隐匿性感染评估中的价值。方法：收集34例患输尿管结石经输尿管镜下碎石治疗有隐匿性感染的患者作为研究组，同时在既往输尿管镜下碎石治疗的输尿管结石患者中随机选取73例无感染患者作为对照组进行对比，分析患者术前血常规、C反应蛋白（CRP）、血糖和术后血常规、血生化、尿量、心率等指标变化及治疗过程。结果：研究组患者术前均无明显发热，血常规白细胞计数在正常范围内但较对照组存在差异，术前CRP水平及术前血糖值均高于对照组，术后2 h尿量少于对照组，术后早期心率明显高于对照组。研究组中17例患者加强抗感染治疗后恢复良好，2例出现感染性休克。结论：多因素综合分析有助于输尿管结石患者围术期隐匿性感染的早期评估和治疗。

[1] LI K,LIU C,ZHANG X,et al.Risk factors for septic shock after mini-percutaneous nephmlithotripsy with holmium laser[J].Urology,2013,81:1173-1176.
[2] TURK C,KROLL T,PERTFIK A,et al.Guidelines on urolithiasis[M]//Guideline 2014 edition.Stockholm:European Association of Urology,2016:1-70.
[3] SINGER M,DEUTSEHMAN C S,SEYMOUR C W,et al.The third international consensus deftnitions for sepsis and septic shock(sepsis-3)[J].JAMA,2016,315:801-810.
[4] DELLINGER R P,LEVY M M,RHODES A,et al.Surviving sepsis campaign:international guidelines for management of severe sepsis and septic shock:2012[J].Crit Care Med,2013,41:580-637.
[5] CRABE M,BARTOLETTI R,BJERKLUND-JOHANSEN T E,et al.Guidelines on urologyical infections[M]//Guideline 2014 edition.Stockholm:European Association of Urology,2014:1-107.
[6] 贾一平,茅爱武,蒋霆辉,等.梗阻性黄疸经皮肝穿刺胆道引流感染发生因素的探讨[J].东南大学学报(医学版),2015,34(3):352-356.
[7] HOMEY R J,WIESENTHAL J D,GHICULETE D,et al.Comparison of supracostal versus infracostal percutaneous nephrolithotomy using the novel prone-flexed patient position[J].Endourol,2011,25(6):947-954.