内、外引流方式在输尿管结石合并尿脓毒血症中的应用研究  

Application of Internal and External Drainage in Ureteral Calculi Complicated with Urosepsis

作　　者：许凯 XU Kai(Department of Urology,Xuyi County People's Hospital,Xuyi 211700,Jiangsu,China)

机构地区：[1]盱眙县人民医院泌尿外科,江苏盱眙211700

出　　处：《医学信息》2022年第2期127-129,共3页Journal of Medical Information

摘　　要：目的观察内、外引流方式在输尿管结石合并尿脓毒血症中应用效果。方法选取2019年1月-2020年12月在我院诊治的62例输尿管结石合并尿脓毒血症患者为研究对象,采用随机数字表法分为对照组和观察组,各31例。对照组采用经输尿管镜置入双J管引流,观察组采用超声引导下经皮肾穿刺引流,比较两组引流成功率、临床手术指标、尿脓毒血症控制时间、术后尿脓毒血症复发率及并发症发生率。结果观察组引流成功率为93.55%,与对照组的83.87%比较,差异有统计学意义(P<0.05);观察组的手术时间、术中出血量与对照组比较,差异无统计学意义(P>0.05);观察组尿脓毒血症控制时间短于对照组,差异有统计学意义(P<0.05);观察组术后尿脓毒血症复发率为0,低于对照组的9.68%,差异有统计学意义(P<0.05);观察组并发症发生率为3.23%,低于对照组的12.90%,差异有统计学意义(P<0.05)。结论超声引导下经皮肾穿刺引流在输尿管结石合并尿脓毒血症中具有良好的应用效果,可提高引流成功率,缩短尿脓毒血症控制时间,降低尿脓毒血症复发率,且术后并发症发生率低,应用安全有效。Objective To observe the effect of internal and external drainage in the treatment of ureteral calculi complicated with urosepsis.Methods A total of 62 patients with ureteral calculi complicated with urinary sepsis who were treated in our hospital from January 2019 to December 2020 were selected as the research objects.They were divided into control group and observation group by random number table method,with 31 cases in each group.The control group was treated with double J tube drainage under ureteroscope,and the observation group was treated with ultrasound-guided percutaneous renal puncture drainage.The drainage success rate,clinical operation indexes,control time of urinary sepsis,recurrence rate of postoperative urinary sepsis and incidence of complications were compared between the two groups.Results The successful rate of drainage in the observation group was 93.55%,which was compared with 83.87%in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in operation time and intraoperative blood loss between the observation group and the control group(P>0.05).The control time of urosepsis in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The recurrence rate of postoperative urosepsis in the observation group was 0,which was lower than 9.68%in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 3.23%,which was lower than 12.90%in the control group,and the difference was statistically significant(P<0.05).Conclusion Ultrasound-guided percutaneous renal puncture drainage in ureteral calculi complicated with urosepsis has good application effect,which can improve the success rate of drainage,shorten the control time of urinary sepsis,reduce the recurrence rate of urinary sepsis,and the incidence of postoperative complications is low,the application is safe and effective.

关 键 词：内外引流 经输尿管镜置入双J管引流 经皮肾穿刺引流 输尿管结石 尿脓毒血症 

分 类 号：R693.4[医药卫生—泌尿科学]