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向俊 刘湘鄂 林晨 何颖 李晨 吴涛.急诊输尿管镜钬激光碎石术处理输尿管下段结石伴轻度尿脓毒血症的效果[J].中国现代医生,2021,59(3):56-59
急诊输尿管镜钬激光碎石术处理输尿管下段结石伴轻度尿脓毒血症的效果
effect of emergency ureteroscopic holmium laser lithotripsy in the treatment of lower ureteral calculi with mild urosepsis
  
DOI:
中文关键词:  急诊  输尿管镜  钬激光碎石术  输尿管下段结石  尿脓毒血症
英文关键词:Emergency department  Ureteroscopy  Holmium laser lithotripsy  Lower ureteral calculi  Urosepsis
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向俊 刘湘鄂 林晨 何颖 李晨 吴涛 湖北省荆州市第三人民医院泌尿外科, 湖北 荆州434001 
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中文摘要:
      目的 评估急诊输尿管镜钬激光碎石术在治疗输尿管下段结石伴轻度尿脓毒血症过程中的安全性和有效性。方法:选取我院2015年9月至2020年9月期间收治的输尿管下段结石伴轻度尿脓毒血症的患者124例,将其随机分为输尿管镜组(55例)与支架管置入组(69例)。比较两组的手术时间、白细胞和体温恢复正常的时间、住院时间和围手术期并发症。结果 与支架管置入组患者相比,急诊输尿管镜组患者的手术时间(含碎石时间)[(44.60±8.69min vs 22.22±6.71min,P<0.01)]延长,但白细胞计数和体温恢复正常的时间、围手术期并发症比较,差异无统计学意义(P > 0.05),且总住院时间明显缩短[(6.70±1.60d vs14.32±2.14d, P<0.01)]。结论 对继发于输尿管下段结石的泌尿系感染伴有轻度尿脓毒血症的患者,急诊输尿管镜钬激光碎石术是一种安全、有效的治疗方法,住院时间缩短,值得临床推广。
英文摘要:
      Objective To evaluate the safety and effectiveness of emergency ureteroscopic holmium laser lithotripsy in treating lower ureteral calculi with mild urosepsis. Methods A total of 124 patients with lower ureteral calculi and mild urosepsis admitted to our hospital from September 2015 to September 2020 were selected,who were randomly divided into ureteroscopy group (n=55 ) and stent tube placement group (n=69 ). The operation time, the time for white blood cells and body temperature return to normal, hospital stay, and perioperative complications were compared between the two groups. Results The operation time (including lithotripsy time) of the emergency ureteroscopy group was longer than that in the stent implantation group([44.60±8.69] minutes vs.[22.22±6.71] minutes, P<0.01). There was no statistically significant difference in the time for white blood cell count and body temperature return to normal and perioperative complications (P>0.05). The total hospital stay of the emergency ureteroscopy group was significantly shorter than that of the stent implantation group ([6.70±1.60] days vs. [14.32±2.14] days, P<0.01). Conclusion For patients with urinary tract infections secondary to lower ureteral calculi accompanied by mild urosepsis, emergency ureteroscopic holmium laser lithotripsy is a safe and effective treatment method. The hospital stay is short and worthwhile clinical promotion. It has a short hospitalization time and is worthy of clinical promotion.
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