[1]向 景,刘宗来,高小瞻,等.输尿管镜联合肾穿刺引流术治疗输尿管结石伴尿脓毒血症临床研究[J].陕西医学杂志,2021,50(8):945-948.[doi:DOI:10.3969/j.issn.1000-7377.2021.08.011]
　XIANG Jing,LIU Zonglai,GAO Xiaozhan,et al.Clinical study of ureteroscopy combined with renal puncture and drainage in treatment of ureteral calculi with urinary sepsis[J].,2021,50(8):945-948.[doi:DOI:10.3969/j.issn.1000-7377.2021.08.011]
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输尿管镜联合肾穿刺引流术治疗输尿管结石伴尿脓毒血症临床研究

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
50
期数:
2021年8期
页码:
945-948
栏目:
临床研究
出版日期:
2021-08-05

文章信息/Info

Title:
Clinical study of ureteroscopy combined with renal puncture and drainage in treatment of ureteral calculi with urinary sepsis
作者:
向 景; 刘宗来; 高小瞻; 舒 峰; 胡忠贵; 杜 丹
(宜昌市第二人民医院,湖北 宜昌 443000)
Author(s):
XIANG Jing; LIU Zonglai; GAO Xiaozhan; SHU Feng; HU Zhonggui; DU Dan
(The Second People's Hospital of Yichang,Yichang 443000,China)
关键词:
输尿管结石伴尿脓毒血症;  治疗;  输尿管镜技术;  肾穿刺引流;  并发症
Keywords:
Ureteral calculi with urinary sepsis;  Therapy;  Ureteroscopic technique;  Renal puncture and drainage;  Complication
分类号:
R 691.4
DOI:
DOI:10.3969/j.issn.1000-7377.2021.08.011
文献标志码:
A
摘要:
目的:探讨输尿管镜联合肾穿刺引流术治疗输尿管结石伴尿脓毒血症的临床疗效。方法:选取合并尿脓毒血症的输尿管结石患者120例,随机分为研究组和对照组,每组患者60例,对照组接受肾穿刺引流术治疗,研究组接受输尿管镜联合肾穿刺引流术治疗。观察并对比两组患者感染指标,内容包括:嗜中性粒细胞比例(NEUR)、白细胞计数(WBC)、C-反应蛋白(CRP)以及降钙元素(PCT); 观察并对比两组患者引流成功率和脓毒血症控制时间; 观察并对比两组患者并发症发生率,内容包括:血尿、漏尿、感染性休克、输尿管炎、输尿管狭窄等。结果:研究组感染控制好,各项感染指标与对照组比较差异均有统计学意义(均P<0.05); 研究组引流成功率高,脓毒血症控制时间短,与对照组比较均有统计学差异(均P<0.05); 研究组并发症总发生率显著低于对照组(P<0.05)。结论:输尿管结石伴尿脓毒血症患者输尿管镜技术联合肾穿刺引流术治疗,疗效显著且可以很大程度地降低患者感染的风险,提高引流成功率,缩短浓毒血控制时间,降低并发症的发生。
Abstract:
Objective:To explore the application of ureteroscopy combined with renal puncture and drainage in the treatment of ureteral calculi with urinary sepsis.Methods:120 patients with ureteral calculi and urinary sepsis were selected and randomly divided into study group and control group,with 60 patients in each group.The control group received renal puncture and drainage,and the study group received ureteroscopy combined with renal puncture and drainage.The ratio of neutrophils(NEUR),white blood cell count(WBC),C-reactive protein(CRP)and calcitonin(PCT)success rate of drainage,sepsis control time,and the incidence of complications were compared between the two groups.Results:The infection indicators in the study group were significantly better than those in the control group(all P<0.05),the success rate of drainage and the sepsis control time in the study group were significantly better than those in the control group(all P<0.05).The total incidence of complications in the study group was significantly lower than that in the control group(P<0.05).Conclusion:Ureteroscopy combined with renal puncture and drainage in the treatment of patients with ureteral calculi and urinary sepsis has a significant effect and can greatly reduce the risk of infection,improve the success rate of drainage,reduce sepsis control time and the occurrence of complications.

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备注/Memo

备注/Memo:
基金项目:湖北省卫生健康委员会面上项目和血防专项(WJ2019M042)
更新日期/Last Update: 2021-08-05