伴上尿路結(jié)石的尿源性膿毒血癥患者引流后早期或晚期行智能控壓軟鏡碎石術(shù)的有效性和安全性

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A study of suctioning flexible ureteroscopy with intelligent pressure-control in treating patients with urogenic sepsis after drainage at different times

MENG Wei LYU Feng ZHANG Huajun CHEN Bo LU Shuaijiang LI Ningning CAI Bo MA Limin GUAN Yangbo1

ABSTRACT：Objective To investigate the safety and effectiveness of suctioning flexible ureteroscopy with intelligent pressure-control at different times after drainage for patients with urogenic sepsis complicated with upper urinary tract stones.Methods Clinical data of 59 patients treated in the Department of Urology， Affiliated Hospital of Nantong University during May 2022 and May 2023 were collected.The patients were divided into early lithotripsy （≤1 week） group （n=27） and late lithotripsy （＞1 week） group （n=32）.Baseline data， imaging data and postoperative data of the two groups were compared.Results There were no significant differences between the two groups in the stone-free rate， total incidence of complications， incidence of high-grade complications， length of stay after lithotripsy， hospitalization costs after lithotripsy and total hospitalization costs （P＞0.05）.Conclusion Both early lithotripsy （＜1 week） and late lithotripsy （＞1 week） are safe and effective in the treatment of urogenic sepsis after drainage.

KEY WORDS：urogenic sepsis；suctioning flexible ureteroscopy with intelligent pressure-control lithotripsy；early lithotripsy；late lithotripsy;upper urinary tract stones

摘要：目的 比較伴上尿路結(jié)石的尿源性膿毒血癥患者引流后早期或晚期行智能控壓軟鏡碎石術(shù)治療的安全性和有效性。（剩余7544字）