内外引流肾盂减压治疗急诊输尿管结石梗阻性尿脓毒血症的效果比较

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Abstract Objective To compare the effect of percutaneous nephrostomy (PCN) external drainage and transurethral ureteral stenting (US) internal drainage in the treatment of emergency ureteral calculi obstructive urinary sepsis.Methods A total of 102 patients with emergency ureteral calculi obstruction complicated with urinary sepsis in Gaozhou People′s Hospital from March 2018 to March 2021 were selected as the research objects, and the patients were divided into the external drainage group (52 cases) and the internal drainage group (50 cases) according to the simple randomization method. The external drainage group was treated with PCN, and the internal drainage group was treated with US.The success rate of renal pelvis decompression, infection control, surgical complications and postoperative quality of life were compared between the two groups. Results There were no significant differences between the two groups in the success rate of renal pelvis decompression, the time of body temperature returning to normal, the time of white blood cell (WBC) returning to normal, the time of C-reactive protein returning to normal, the time of procalcitonin (PCT) returning to normal and the days of postoperative hospitalization (P＞0.05). There were no significant differences in the incidence of ureteropelvic stent perforation and renal hemorrhage between the two groups (P＞0.05). The incidence of postoperative back pain and sleep idsorders of the internal drainage group was lower than that in the external drainage group, and the difference was statistically significant (P＜0.05). The infection progression rate at 2 h after operation in the internal drainage group was higher than that in the external drainage group, the difference was statistically significant (P＜0.05). Conclusion Both methods of renal pelvis decompression can effectively control ureteral calculi obstruction complicated with urinary sepsis, but the safety of PCN is better than that of US, and the comfort and quality of life after US are better than those after PCN. Therefore, in terms of treatment, it is necessary to consider the situation of patients and the technology of doctors, and choose the appropriate way of renal pelvis decompression.

Key words： Ureteral calculi Urinary sepsis Ureteral stent Percutaneous nephrostomy

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	PENG Yeping
	FENG Zhenhua
	HUANG Qiang
	LIANG Hao
	CHEN Xianguo

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PENG Yeping,FENG Zhenhua,HUANG Qiang, et al. Effect comparison of internal and external drainage of renal pelvis decompression in the treatment of emergency ureteral calculi obstruction complicated with urinary sepsis[J]. 中国当代医药, 2022, 29(16): 144-147.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I16/144

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