B超引导下肾穿刺造瘘术联合输尿管内支架置入应用于尿源性脓毒血症紧急解压的效果  

Efficacy of B-ultrasound-guided nephrostomy combined with ureteral stent placement on emergency decompression of urogenic sepsis

作　　者：吴文校 施长利 林少莲 Wu Wenxiao;Shi Changli;Lin Shaolian(Department of Urology,Peng Pai Memorial Hospital,Haifeng,Haifeng 516624,China)

机构地区：[1]广东省海丰县彭湃纪念医院泌尿外科,516624

出　　处：《临床医学》2022年第4期9-11,共3页Clinical Medicine

基　　金：2020年汕尾市科技计划项目(2020C017)。

摘　　要：目的探讨B超引导下肾穿刺造瘘术联合输尿管内支架置入应用于尿源性脓毒血症紧急解压的临床效果。方法选取海丰县彭湃纪念医院2015年5月至2020年4月收治的76例尿源性脓毒血症患者,随机分为两组。对照组18例予以常规治疗,研究组58例在对照组治疗基础上加用B超引导下肾穿刺造瘘术联合输尿管内支架置入治疗,记录两组治疗效果及感染控制情况。结果研究组治疗72 h内尿量恢复正常、治疗72 h内体温恢复正常所占比例均为100.00%(58/58),对照组治疗72 h内尿量恢复正常所占比例为27.78%(5/18)、治疗72 h内体温恢复正常所占比例为33.33%(6/18),两组比较差异有统计学意义(P<0.05)。两组治疗前白细胞计数、降钙素原、C-反应蛋白比较,差异未见统计学意义(P>0.05)。治疗1周后两组白细胞计数、降钙素原、C-反应蛋白均较治疗前有所下降,研究组治疗1周后上述指标检测值低于对照组,差异有统计学意义(P<0.05)。研究组白细胞计数、降钙素原、C-反应蛋白恢复正常所需时间短于对照组,差异有统计学意义(P<0.05)。结论B超引导下肾穿刺造瘘术联合输尿管内支架置入有利于提高尿源性脓毒血症患者临床疗效,对促进患者尽快恢复健康具有积极意义。Objective To investigate the clinical effect of B-ultrasound-guided nephrostomy combined with ureteral stent placement on the emergency decompression of urogenic sepsis.Methods A total of 76 patients with urologic sepsis who were admitted to Peng Pai Memorial Hospital from May 2015 to April 2020 were selected,and they were randomly divided into two groups.The 18 cases in control group received conventional treatment,and the 58 cases in study group received B-ultrasound-guided nephrostomy combined with ureteral stent placement based on the treatment of the control group.The treatment effect and infection control of the two groups were recorded.Results The proportion of urine volume returning to normal within 72 hours and body temperature returning to normal within 72 hours was 100.00%(58/58)in the study group.In the control group,the proportion of urine volume returned to normal within 72 hours of treatment was 27.78%(5/18),and the proportion of body temperature returned to normal within 72 hours of treatment was 33.33%(6/18).There was significant difference between the two groups(P<0.05).There was no significant difference in the detection values of leukocyte count,procalcitonin and C-reactive protein between the two groups before treatment(P>0.05).After 1 week of treatment,the detection values of leukocyte count,procalcitonin and C-reactive protein in the two groups decreased compared with those before treatment.After 1 week of treatment,the detection values of the above indexes in the study group were lower than those in the control group,the differences were significant(P<0.05).The time required for leukocyte count,procalcitonin and C-reactive protein to return to normal in the study group was shorter than those in the control group,and the differences were significant(P<0.05).Conclusions The application of B-ultrasound-guided nephrostomy combined with ureteral stent placement is beneficial to improve the clinical efficacy of patients with urosepsis,and has positive significance for promoting the recovery of p

关 键 词：尿源性脓毒血症 肾穿刺造瘘术 输尿管内支架置入 紧急解压 

分 类 号：R459.7[医药卫生—急诊医学]