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

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.