摘要
目的 分析经皮肾造瘘肾盂减压方式治疗上尿路结石合并尿源性脓毒血症的临床疗效。方法 采取随机数字表法将2021年1月-2022年3月收诊的86例上尿路结石合并尿源性脓毒血症患者分为2组,对照组(43例)采用留置输尿管支架进行肾盂减压治疗,观察组(43例)采用经皮肾造瘘肾盂减压治疗,对比两组肾盂减压成功率,血清内毒素、感染控制效果,二期碎石情况及并发症发生情况等。结果 观察组肾盂减压成功率高于对照组(P<0.05);观察组WBC、CRP、PCT、血清内毒素水平均低于对照组(P<0.05);观察组手术时间低于对照组,软镜使用率低于对照组(P<0.05),结石清除率高于对照组(P<0.05)。观察组并发症发生率与对照组比较差异无统计学意义(P>0.05)。结论 上尿路结石并尿源性脓毒血症患者采用经皮肾造瘘肾盂减压的治疗方式,可以有效控制感染的持续性发展,并提升患者结石的清除效果,减少软镜使用,同时减少术后并发症发生率,对促进患者尽快康复起到积极作用。
Objective To analyze clinical effect of percutaneous nephrostomy and pelvic decompression in treatment of upper urinary calculi with urinary sepsis.Methods The paper divided 86 patients with upper urinary calculi and urogenic sepsis from January 2021 to March 2022 into two groups with random number table method.Control group(43 cases)was treated with indwelling ureteral stents for pelvic decompression treatment,while observation group(43 cases)with percutaneous nephrostomy for pelvic decompression treatment.Success rate of pelvic decompression,serum endotoxin,infection control effect,secondary lithotripsy status and incidence of complications was compared between two groups.Results Success rate of pelvic decompression in observation group was higher than in control group(P<0.05).Levels of WBC,CRP,PCT and serum endotoxin in observation group were lower than control group(P<0.05).Surgery time in observation group was lower than control group,with a soft lens usage rate of lower than control group(P<0.05).Stone clearance rate was higher than control group(P<0.05).Incidence of complications in observation group was that was in control group,there was no statistically significant difference(P>0.05).Conclusion Percutaneous nephrostomy and pelvic decompression can effectively control continuous development of infection,improve removal effect of stones,reduce use of soft mirrors and postoperative complications incidence in treatment of patients with upper urinary calculi and urogenic sepsis,with positive effect in promoting recovery of patients as soon as possible.
作者
周爱国
ZHOU Aiguo(Urology Department,Jingzhou Overseas Chinese Hospital,Jingzhou,Hubei,430000)
出处
《智慧健康》
2023年第12期156-160,共5页
Smart Healthcare
关键词
上尿路结石
尿源性脓毒血症
经皮肾造瘘
肾盂减压
感染指标
临床疗效
Upper urinary calculi
Urinary sepsis
Percutaneous nephrostomy
Pelvic decompression
Infection indicators
Clinical effect
