中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
7期
1629-1631
,共3页
输尿管结石%肾盂积水%感染%经皮肾穿刺造瘘%狄激光碎石
輸尿管結石%腎盂積水%感染%經皮腎穿刺造瘺%狄激光碎石
수뇨관결석%신우적수%감염%경피신천자조루%적격광쇄석
Ureteral stone%Hydronephrosis%Infection%Percutaneous nephrolithotomy%DE laser lithotripsy
目的：探讨抗菌药物抗感染联合微创碎石法在输尿管结石合并肾盂积水发生感染治疗中的应用，为临床治疗提供参考依据。方法调查2012年1月－2013年7月收治的28例输尿管结石合并肾盂积水发生感染患者临床资料，根据病情不同给予直接狄激光碎石治疗或者先进行经皮肾穿刺造瘘引流再采用狄激光碎石结合治疗，将患者肾脏导出液进行感染病原菌鉴定，并确定对抗菌药物的敏感性，采用SPSS 17．0软件进行统计分析。结果28例患者经过微创激光碎石均取得了较好的治疗效果，术后腰痛肾绞痛消失、血像恢复正常，B超检查积水基本消失，结石清除率分别达到95．4％与87．8％，随访6～12个月，所有患者无感染、无积水复发，无患侧肾萎缩及输尿管狭窄等并发症。结论感染被有效控制的情况下，微创治疗输尿管结石合并肾积水有手术时间短、创伤小、恢复快等优点，可以作为治疗结石合并肾感染的常规方法广泛推广。
目的：探討抗菌藥物抗感染聯閤微創碎石法在輸尿管結石閤併腎盂積水髮生感染治療中的應用，為臨床治療提供參攷依據。方法調查2012年1月－2013年7月收治的28例輸尿管結石閤併腎盂積水髮生感染患者臨床資料，根據病情不同給予直接狄激光碎石治療或者先進行經皮腎穿刺造瘺引流再採用狄激光碎石結閤治療，將患者腎髒導齣液進行感染病原菌鑒定，併確定對抗菌藥物的敏感性，採用SPSS 17．0軟件進行統計分析。結果28例患者經過微創激光碎石均取得瞭較好的治療效果，術後腰痛腎絞痛消失、血像恢複正常，B超檢查積水基本消失，結石清除率分彆達到95．4％與87．8％，隨訪6～12箇月，所有患者無感染、無積水複髮，無患側腎萎縮及輸尿管狹窄等併髮癥。結論感染被有效控製的情況下，微創治療輸尿管結石閤併腎積水有手術時間短、創傷小、恢複快等優點，可以作為治療結石閤併腎感染的常規方法廣汎推廣。
목적：탐토항균약물항감염연합미창쇄석법재수뇨관결석합병신우적수발생감염치료중적응용，위림상치료제공삼고의거。방법조사2012년1월－2013년7월수치적28례수뇨관결석합병신우적수발생감염환자림상자료，근거병정불동급여직접적격광쇄석치료혹자선진행경피신천자조루인류재채용적격광쇄석결합치료，장환자신장도출액진행감염병원균감정，병학정대항균약물적민감성，채용SPSS 17．0연건진행통계분석。결과28례환자경과미창격광쇄석균취득료교호적치료효과，술후요통신교통소실、혈상회복정상，B초검사적수기본소실，결석청제솔분별체도95．4％여87．8％，수방6～12개월，소유환자무감염、무적수복발，무환측신위축급수뇨관협착등병발증。결론감염피유효공제적정황하，미창치료수뇨관결석합병신적수유수술시간단、창상소、회복쾌등우점，가이작위치료결석합병신감염적상규방법엄범추엄。
OBJECTIVE To investigate the application of anti‐infective antibacterials with minimally invasive litho‐tripsy in clinical treatment of infections in patients with ureteral stone complicated with hydronephrosis ,so as to provide reference for clinical treatment .METHODS Clinical data were investigated of 28 cases of infections in pa‐tients with ureteral stone complicated with hydronephrosis admitted and treated during Jan .2012 to Jul .2013 . The patients were given direct DE laser lithotrity or lithotripsy following drainage by percutaneous nephrostomy . Infectious pathogens in renal fluids were identified and their sensitivity to antibacterials was determined .The soft‐ware SPSS17 .0 was used for statistical analysis .RESULTS The 28 patients had good therapeutic effect after mini‐mally invasive laser lithotripsy as waist pain and renal colic were resolved ,the hemogram went normal and hydro‐nephrosis was generally resolved .The stone clearance was up to 95 .4% and 87 .8% in the two groups .Following up for 6 to 12 months ,all the patients had no infections ,recurrence of hydronephrosis ,or complications such as renal atrophy and ureterostenosis .CONCLUSION Given the effective control of infections ,minimally invasive treatment for ureteral stone complicated with hydronephrosis has advantages of short operation time ,small wound and rapid recovery ,which can be used and widely promoted as a routine method in treating ureteral stone combined with renal infections .
