Effect of Nephrostomy on Infections Caused by Ureteroscopic Holmium Laser Lithotripsy
- VernacularTitle:术前肾穿刺造瘘减少(轻)输尿管镜钬激光碎石术后感染作用的研究
- Author:
Lichao ZHANG
;
Weilie HU
;
Zhixiong DENG
- Publication Type:Journal Article
- Keywords:
Nephrostomy;
Ureteroscope;
Postoperative infection;
Ureteral calculi
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of nephrostomy on the infections after ureteroscopic holmium laser lithotripsy.Methods From March 2007 to May 2008,100 patients with unilateral upper ureteral calculi complicated with hydronephrosis were divided into control and experiment groups according the patients number (50 cases in each). Ureteroscopic holmium laser lithotripsy was carried out in the control group,while in the experiment group,nephrostomy was performed two days prior to ureteroscopic holmium laser lithotripsy. The clinical data including highest body temperature after the operation,recovery of body temperature,blood routine and urine routine,as well as hospital cost,were compared between the two groups. Results Compared with the control group,patients in the experiment group showed significantly lower highest temperature [(37.8?0.5) ℃ vs (38.6?0.5) ℃,t=-8.000,P=0.000],quicker recovery of body temperature [(1.6?0.2) d vs (2.8?0.4) d,t=-18.974,P=0.000],blood routine [(2.7?0.4) d vs (4.1?0.6) d,t=-13.728,P=0.000],and urine routine [(3.6?0.6) d vs (5.2?0.7) d,t=-12.271,P=0.000],as well as lower hospital cost [(8.6?1.5) thousand RMB vs (9.5?1.1) thousand RMB,t=-3.421,P=0.000]. Conclusion Nephrostomy shows positive effect on relieving infections after ureteroscopic holmium laser lithotripsy.
