【摘要】 目的:分析对比留置输尿管支架(US)和经皮肾造瘘(PCN)治疗上尿路结石合并尿源性脓毒症的临床效果。方法:将2018年5月-2020年4月于笔者所在医院治疗的83例上尿路结石合并尿源性脓毒症患者纳入研究,按随机数字表法分为留置组(n=41)和造瘘组(n=42),观察手术效果、感染指标复常时间及并发症发生情况。结果:造瘘组手术时间、住院时间均短于留置组,肾盂压力恢复时间早于留置组,差异均有统计学意义(P<0.05);造瘘组体温、WBC、PCT复常时间均早于留置组,差异均有统计学意义(P<0.05);造瘘组并发症发生率为14.29%,留置组为21.95%,差异无统计学意义(P>0.05)。结论:相较于US,PCN通过快速降低肾盂压力缓解上尿路结石合并尿源性脓毒症患者感染,在不增加并发症的基础上促进患者快速恢复。更多还原

【Abstract】 Objective:To analyze and compare the clinical effects of indwelling ureteral stent (US) and percutaneous nephrostomy (PCN) in treatment of upper urinary tract calculi with urinary sepsis.Method:A total of 83 patients with upper urinary tract stones combined with urinary sepsis who were treated in our hospital from May 2018 to April 2020 were included in the study.They were divided into the indwelling group (n=41 cases) and the fistula group (n=42 cases) according to the random number table method.The surgical effect,time to return to normal of infection index and complications of the two groups were observed.Result:The operation time and hospitalization time in the fistula group were shorter than those in the indwaining group,and the recovery time of renal pelvis pressure was earlier than that in the indwaining group,the differences were statistically significant (P<0.05).The recovery time of body temperature,WBC and PCT in the fistula group were shorter than those in the indwelling group,the differences were statistically significant (P<0.05).The incidence of complications was 14.29% in the fistula group and 21.95% in the indwaining group,the difference was not statistically significant (P>0.05).Conclusion:Compared with US,PCN alleviates infection in patients with upper urinary tract stones combined with urinary sepsis by rapidly reducing renal pelvic pressure,and promotes rapid recovery without increasing complications.更多还原