Clinical study on severe infection caused by ureteral calculus in 12 patients
10.3760/cma.j.issn.1008-6706.2019.13.016
- VernacularTitle: 输尿管结石并发上尿路重度感染12例临床分析
- Author:
Bin YANG
1
;
Jiuhua LIU
;
Mingcong ZHANG
;
Wei CHENG
;
Feng XIN
Author Information
1. Department of Urology, the Second People's Hospital of Lianyungang, Lianyungang, Jiangsu 222006, China
- Publication Type:Journal Article
- Keywords:
Ureteral calculus;
Urinary tract infections;
Antibiotics;
Double J stenting;
Percutaneous nephrostomy;
ESWL
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(13):1600-1603
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore comprehensive treatment for severe infection caused by ureteral calculus.
Methods:The clinical data of 12 patients with severe infection caused by ureteral calculus in the Second People's Hospital of Lianyungang from January 2016 to December 2017 were reviewed.The patients cured by anti-infective therapy received one-stage surgical treatment.The patients with ineffective anti-infective therapy received one-stage cystoscopic retrograde double J tube or B ultrasound-guided percutaneous nephrostomy first, then ureteral calculus was treated.
Results:Two patients were cured by empirical antimicrobial agents.One patient was successfully cured by extracorporeal shock wave lithotripsy (ESWL) and the other by retroperitoneoscopic ureterolithotomy.Ten patients were not responsive to empirical antimicrobial agents.Two patients refused treatment and requested discharge from the hospital.The other 8 patients received two-stage treatment.In the stage I, cystoscopic retrograde double J tube was accomplished in 3 patients, and 5 patients were treated successfully by percutaneous nephrostomy guided by B ultrasound.In the stage II, one patient with ureter stone-street was cured by lithagogue drugs, 2 patients were successfully cured by ESWL, one patient by holmium laser lithotripsy under ureteroscope, 2 patients by ureterolithotomy and 2 patients by percutaneous nephrolithotomy by endoscopy and holmium laser.
Conclusion:The therapy of retrograde double J tube at cystoscopy or percutaneous nephrostomy guided by B ultrasound combined with empirical antimicrobial agents in the satae I, combined with lithotripsy according to guidelines in the stage II in treating severe infection caused by ureteral calculus have more advantage such as simple, less injury, rapid control of infection, less complication and satisfactory effect.It is an ideal method.
