腔内微创技术治疗妊娠期肾积水合并感染的疗效分析  

Efficacy of minimally invasive endovascular techniques treatment of hydronephrosis with infection during pregnancy

作　　者：刘明生[1] 周红庆[1] 张小德[1] 邓体斌 许陈祥[1] 邵涛[1] 吴尧[1] 朱少杰[1] 

机构地区：[1]云南省曲靖市第一人民医院泌尿外科二病区,曲靖655000

出　　处：《国际外科学杂志》2014年第8期544-547,共4页International Journal of Surgery

摘　　要：目的 探讨应用腔内微创技术治疗妊娠期肾积水合并感染的疗效及安全性.方法 应用腔内微创技术对65例妊娠期肾积水合并感染的患者进行治疗,术后定期返院随访3个月,并与48例同期采取保守治疗的患者进行比较.结果 观察组的65例患者无输尿管穿孔及其他手术相关并发症发生.患者的住院时间、术后感染复发率、抗生素治疗时间、发热天数均较对照组明显降低（P＜0.05）.结论 腔内微创技术在治疗妊娠期肾积水合并感染方面具有恢复快、住院时间短、能明显减少患者发热天数及减少抗生素应用天数等优势,可以作为治疗妊娠期肾积水合并感染的常规手段.Objective To investigate the efficacy and safety of minimally invasive endovascular techniques treatment of hydronephrosis in pregnancy complicated by infection.Methods Sixty-five cases of pregnancy hydronephrosis coinfected patients with minimally invasive endovascular treatment.Patients was back to the hospital after a regular follow-up of 3 months,compared with 48 patients with the same period of conservative treatment.Results Ureteral perforation and other surgery-related complications occurred in 65 patients in the observation group has not occurred.The patient＇s duration of hospitalization、the recurrence rate of postoperative infection,antibiotic duration of treatment,fever days were significantly lower than the control group （P ＜ 0.05）.Conclusions Compared with conservative treatment,minimally invasive endovascular technical treatment of gestational hydronephrosis co-infection with faster recovery,shorter hospital stay,can significantly reduce the number of days of fever patients and reduce the number of days of antibiotic use,can be used as conventional means of treatment of gestational hydronephrosis infection combined conventional.

关 键 词：妊娠并发症 感染性 泌尿道感染 输尿管镜检查 

分 类 号：R714.25[医药卫生—妇产科学]