经皮肾穿刺微造瘘引流术对输尿管结石引起脓毒症患者的效果

Effect of Percutaneous Nephrostomy Microstomy Drainage on Ureteral Calculi Induced Sepsis

目的:探究经皮肾穿刺微造瘘引流术对输尿管结石引起脓毒症患者的效果。方法:选取2020年3月—2022年2月钦州市第一人民医院收治的输尿管结石引起脓毒症的患者73例,依据随机数表法将患者分为对照组(n=36)和观察组(n=37),对照组采用常规碎石引流方法治疗,观察组采用经皮肾穿刺微造瘘引流术。比较两组患者临床指标、治疗前后肾功能、肾积水程度、炎症水平,术后复发脓毒症率和术后并发症发生率。结果:观察组引流成功率高于对照组,手术时间、脓毒症好转时间、住院时间、术后复发脓毒症率和并发症总发生率均优于对照组,差异有统计学意义(P<0.05)。治疗后,观察组肾功能、肾积水程度及炎症水平低于对照组,差异有统计学意义(P<0.05)。结论:在输尿管结石引起脓毒症患者应用经皮肾穿刺微造瘘引流术,可改善患者肾功能并降低炎症因子水平,有助于患者后续恢复。

Objective:To explore the effect of percutaneous nephrostomy microstomy drainage on ureteral calculi induced sepsis.Method:Seventy-three patients with ureteral calculi induced sepsis admitted to the Qinzhou First People's Hospital from March 2020 to February 2022 were selected.According to random number table method,the patients were divided into control group(n=36)and observation group(n=37).The control group was treated with conventional lithotriptic drainage,and the observation group was treated with percutaneous nephrostomy microstomy drainage.The clinical indexes,renal function,degree of hydronephrosis,level of inflammation before and after treatment,rate of postoperative recurrent sepsis and incidence of postoperative complications were compared between the two groups.Result:The successful rate of drainage in the observation group was higher than that in the control group,and the operation time,sepsis improvement time,hospital stay,postoperative recurrence rate of sepsis and the total incidence of complications were better than those in the control group,the differences were statistically significant(P<0.05).After treatment,renal function,hydronephrosis and inflammation level in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).Conclusion:Percutaneous nephrostomy microstomy drainage in patients with sepsis caused by ureteral calculi can improve renal function and reduce the level of inflammatory factors,which is conducive to the subsequent recovery of patients.