Efficacy of different drainage methods in the treatment of urinary sepsis by ureteral calculi obstruction
Chen Jianjun
Lu Dongquan
Li Qiang
Wei Xuefeng
Abstract：Objective:To explore the efficacy of different drainage methods in the treatment of urethral sepsis caused by ureteral calculi obstruction.Methods:Seventy patients with urethral septicemia caused by ureteral calculi obstruction in our hospital from March 2013 to March 2017 were selected.In accordance with the different levels of illness, the patients were divided into mild group, severe group and shock group.In combination with the severity of the disease and clinical conditions, severe group and shock group were given retrograde double J tube treatment.The patients in the mild group and those failed to retrograde indwelling double-J tube were given percutaneous nephrostomy drainage or double J tube drainage following pneumatic lithotripsy.The patients with moderate hydronephrosis were given percutaneous nephrostomy drainage, and those with mild hydrocephalus were given double J tube drainage treatment following pneumatic lithotripsy.The clinical efficacy and the incidence of adverse reactions were compared among the three groups.Results:Twenty-nine patients were subjected to retrograde placement of double J tube drainage, 19 cases to percutaneous nephrostomy drainage, and 22 cases to double J tube drainage following pneumatic lithotripsy.All patients were decompressed successfully.The recovery time in mild, severe and shock groups was (3.54±1.46), (6.27±1.83), and (15.12±2.54) days respectively with the difference being statistically significant among the three groups (P＜0.05).VAS score in mild, severe and shock groups was (3.81±1.36), (4.32±1.23) and (5.14±115) respectively with the difference being statistically significant among the three groups (P ＜0.05).The stone clearance rates in mild, severe and shock groups 93.14％, 87.21％ and83.06％respectively, with no significant difference (P＞0.05).The incidence of adverse reactions in mild, severe and shock groups was 5.6％, 11.2％ and 12.5％ respectively, with no significant difference (P＞0.05).There were significant differences in WBC counts and PLT levels among the three groups before treatment (P＜0.05).After treatment, there was no significant difference in the above two indexes among the three groups (P＞0.05).There was significant difference in WBC counts and PLT levels in three groups before and after treatment (P＜0.05).Conclusions:In the clinical treatment of ureteral obstruction-induced urinary sepsis, based on the clinical conditions of sepsis and hydronephrosis, the development of targeted treatment can effectively improve the patient's conditions, and redcue adverse reactions.It is worth to be widely promoted clinically.
Keywords：ureteral calculi obstructionurinary sepsisdouble J tubepercutaneous nephrostomypneumatic lithotripsy
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 322-326 )