经皮肾微造瘘联合二期经皮肾镜碎石术治疗上尿路结石并感染性休克12例报告

Percutaneous Mini Nephrostomy Combined with Secondary Percutaneous Nephrostolithotomy for Upper Urinary Calculi Combined with Septic Shock(Report of 12 Cases)

目的:探讨经皮肾微造瘘联合二期经皮肾镜碎石术治疗上尿路结石并感染性休克的临床疗效。方法:对12例上尿路石并感染性休克患者在积极抗感染及抗休克治疗的同时行经皮肾微造瘘术,并于术后1～4周行二期经皮肾镜碎石术。结果:12例患者肾造瘘术均顺利完成,感染及休克症状得到控制。二期手术均顺利完成,结石基本完全清除。结论:对于上尿路结石并感染性休克患者,早期行经皮肾脏微造瘘能有效控制感染及休克症状,联合二期经皮肾镜碎石术能完整清除结石,临床效果满意。

Objective：To investigate the significance of percutaneous mini nephrostomy combined with seconda- ry percutaneous nephrostolithotorny for upper urinary calculi combined with septic shock. Methods： Twelve cases of upper urinary calculi combined with septic shock underwent percutaneous mini nephrostomy, antibiotic therapy and anti-shock therapy. One to four weeks later, secondary percutaneous nephrostolithotomy were performed in the patients. Results：The percutaneous mini nephrostomy were accomplished successfully in the 12 patients and the infection and shock were rectified. All the secondary percutaneous nephrostolithotomy were performed successfully and the stones were almost removed. Conclusions ： Early percutaneous mini nephrostomy can effectively rectify in- fection and shock for upper urinary calculi combined with septic shock patients. The secondary percutaneous ne- phrostolithotomy may completely remove the stones and gain satisfactory therapeutic effect.