无锡市惠山区人民医院新型冠状病毒肺炎期间输尿管结石特点分析

Analysis of characteristics of ureteral calculi during the Corona Virus Disease 2019(COVID-19) in Huishan District People’s Hospital of Wuxi City

目的:分析对比我院疫情期间和非疫情期间127例输尿管结石患者的临床特征。方法:收集2019年2月~7月和2020年2月~7月惠山区人民医院泌尿外科门诊或急诊科收治的127例复杂性输尿管结石患者的临床资料,根据就诊是否处于疫情期间分为对照组(84例)和研究组(43例)。比较两组患者的结石特征,实验室检查指标,抗生素使用情况,干预措施以及住院天数。结果:两组患者的平均年龄和结石特征无显著性差异。研究组入院时的血清肌酐水平及白细胞计数显著高于对照组。相对于对照组来说,研究组的急诊优先级比例高,症状更重,需要手术干预的比例更高,碳青霉烯类抗生素使用率更强,住院天数更长。结论:新型冠状病毒肺炎疫情期间复杂性输尿管结石患病率明显升高,泌尿外科医师应该根据发病特点制订合理的诊疗措施。

Objective:To analyze the characteristics of 127 cases of ureteral stones during the epidemic and nonepidemic period in Huishan District People’s Hospital.Methods:The clinical data of 127 patients with complicated ureteral calculi in the urology clinic or the emergency department from February to July 2019 and February to July2020 were analyzed retrospectively.The patients were divided into control group(84 cases)and study group(43 cases)according to the epidemic period.The ureteral calculi characteristics,laboratory indicators,application of antibiotics,intervention measures and length of hospital stay were compared between the two groups.Results:There was no significant difference in the average age and stone characteristics between the two groups.The serum creatinine level and white blood cell count in the study group on admission were significantly higher than those in the control group.As compared with the control group,the study group has a higher emergency priority ratio,more surgical interventions,a stronger use of carbapenem antibiotics,and a longer hospital stay.Conclusion:The prevalence of complicated ureteral stones during the new coronavirus pneumonia period is significantly higher,and urologists should give priority to patients who need urgent treatment.