摘要
目的探索输尿管结石梗阻继发急性上尿路重度感染较为有效的联合治疗方法,提高临床治愈率。方法选择2009年1月-2010年12月45例并发急性上尿路感染的输尿管结石患者,单盲随机将其中31例分为观察组,另14例为对照组。结果观察组患者治疗3d、1周后有效率为67.7%、93.5%,显著高于对照组的35.7%、64.3%,差异有统计学意义(P<0.05);观察组患者结石排出时间(4.5±1.5)d、症状消失时间(5.3±1.2)d、住院时间(10.5±2.5)d及住院费(9918.5±702.3)元,均显著低于对照组,差异有统计学意义(P<0.05)。结论碎石术中建立良好的膨胀液的回流通道,可降低灌注压,减少肾盂逆流的发生率,提高治疗效果。
OBJECTIVE To improve the clinical cure rate,and explore more effective combination treatment method for patients with ureteral stone obstruction complicated with severe acute upper urinary infection. METHODS A total of 45 cases of patients with with ureteral stone obstruction complicated with severe acute upper urinary infection treated in our department between Jan 2009 and Feb 2010 were selected.31 patients were Single-blind randomly divided into improved group,and the remainder into control group. RESULTS Three days and one week after treatment,the effective rate of observation group of patients（67.7% and 93.5%）was significantly higher than that of control group（35.7% and 64.3%）（P〈0.05）.Lithecbole time（4.5±1.5 days）,transference cure time（5.3±1.2 days）,hospitalization time（10.5±2.5 days） and hospital expenses（9918.5±702.3 yuan） of observation group of patients were significantly lower than that of control group（P〈0.05）. CONCLUSION During lithotripsy;to establish a good expansion fluid backflow channel can reduce perfusion pressure,reduce the incidence of renal pelvis against,and improve the treatment effect.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第22期4714-4715,共2页
Chinese Journal of Nosocomiology
关键词
输尿管结石
上尿路感染
治疗
Ureteral stone
Upper urinary infection
Treatment
