伴上尿路结石的尿源性脓毒血症患者引流后早期或晚期行智能控压软镜碎石术的有效性和安全性  

A study of suctioning flexible ureteroscopy with intelligent pressure-control in treating patients with urogenic sepsis after drainage at different times

作　　者：孟伟 吕枫 张华军 陈博 陆帅江 李宁宁 蔡波[1] 马利民[1] 管杨波[1] MENG Wei;LYU Feng;ZHANG Huajun;CHEN Bo;LU Shuaijiang;LI Ningning;CAI Bo;MA Limin;GUAN Yangbo(Department of Urology,The Affiliated Hospital of Nantong University,Nantong 226000;Graduate School of Dalian Medical University,Dalian 116044;Department of Clinical Medicine,Xinglin College,Nantong University,Nantong 226000,China)

机构地区：[1]南通大学附属医院泌尿外科,江苏南通226000 [2]大连医科大学研究生院,辽宁大连116044 [3]南通大学杏林学院临床医学系,江苏南通226000

出　　处：《现代泌尿外科杂志》2024年第2期126-129,145,共5页Journal of Modern Urology

基　　金：江苏省研究生科研与实践创新计划项目(No.SJCX23_1792)。

摘　　要：目的比较伴上尿路结石的尿源性脓毒血症患者引流后早期或晚期行智能控压软镜碎石术治疗的安全性和有效性。方法回顾性分析2022年5月—2023年5月于南通大学附属医院泌尿外科行智能控压软镜碎石术治疗的59例伴上尿路结石的尿源性脓毒血症患者的临床资料,根据一期引流减压至二期碎石治疗间隔时间分为早期碎石(≤1周)组(n=27)与晚期碎石(>1周)组(n=32),比较两组患者的基线资料、影像学资料、术中及术后资料。结果两组患者在结石清除率、总并发症发生率、高级别并发症发生率、碎石治疗后的住院时间、碎石治疗后的住院费用和总住院治疗费用方面比较,差异均无统计学意义(P>0.05)。结论采用智能控压软镜碎石术早期碎石(≤1周)和晚期碎石(>1周)治疗尿源性脓毒血症引流后的患者均安全有效。Objective To investigate the safety and effectiveness of suctioning flexible ureteroscopy with intelligent pressure-control at different times after drainage for patients with urogenic sepsis complicated with upper urinary tract stones.Methods Clinical data of 59 patients treated in the Department of Urology,Affiliated Hospital of Nantong University during May 2022 and May 2023 were collected.The patients were divided into early lithotripsy(≤1 week)group(n=27)and late lithotripsy(>1 week)group(n=32).Baseline data,imaging data and postoperative data of the two groups were compared.Results There were no significant differences between the two groups in the stone-free rate,total incidence of complications,incidence of high-grade complications,length of stay after lithotripsy,hospitalization costs after lithotripsy and total hospitalization costs(P>0.05).Conclusion Both early lithotripsy(<1 week)and late lithotripsy(>1 week)are safe and effective in the treatment of urogenic sepsis after drainage.

关 键 词：尿源性脓毒血症 智能控压软镜碎石术 早期碎石 晚期碎石 上尿路结石 

分 类 号：R699.4[医药卫生—泌尿科学]