摘要
Abstract
Objective:To compare the efficacy of percutaneous nephrostomy and retrograde placement of double J tube under ureteroscope in the treatment of patients with urogenic sepsis caused by upper urinary tract stones.Methods:A total of 69 patients with urogenic sepsis caused by upper urinary tract stones admitted to The First People's Hospital of Jingdezhen from July 2020 to July 2023 were selected as the study objects,and were randomly divided into an internal drainage group(n=37)and an external drainage group(n=32).The internal drainage group was treated with double J tube implantation under ureteroscope,and the external drainage group was treated with percutaneous nephrostomy.Operation related indexes,inflammation response and occurrence of complications were compared between the two groups.Results:There were no significant differences in the success rate of postoperative drainage and operation time between the two groups(P>0.05).The time of body temperature recovery and infection control in the external drainage group was shorter than that in the internal drainage group,and the differences were statistically significant(P<0.05).On day 1 after surgery,procalcitonin,interleukin-6 and C-reactive protein in the external drainage group were lower than those in the internal drainage group,with statistical significance(P<0.05).The incidence of complications between the two groups was 28.13%and 10.81%,respectively,with no significant difference(P>0.05).Conclusion:For patients with urogenic sepsis caused by upper urinary tract stones,percutaneous nephrostomy is shorter in temperature recovery and infection control time than retrograde placement of double J tubes under ureteroscopy,and the level of inflammation is lower,but there is no significant difference in the success rate of postoperative drainage and complication rate.关键词
尿源性脓毒血症/上尿路结石/经皮肾穿刺造瘘/输尿管镜/双J管Key words
Urogenic Sepsis/Upper urinary tract stones/Percutaneous nephrostomy/Ureteroscope/Double J tubes分类
医药卫生
