Clinical study of percutaneous nephrostomy in the treatment of ureteral calculus combined with urine sepsis

Abstract

Objectives To investigate the feasibility and safety of percutaneous nephrostomy in the prevention of septic shock before the surgery for ureteral calculus combined with urosepsis. Methods 46 patients with ureteral calculus combined with urosepsis in our hospital from Janaury 2011 to December 2014 were accepted by anti-infection treatment and percutaneous nephrostomy.Before the ureteroscopic holmium laser lithotripsy (URL), all the patients were underwent the drainage. The clinical data, such as WBC, NEUR, CRP and PCT from the patients were analyzed before and after percutaneous nephrostomy. Results 44 patients underwent the drainage by percutaneous nephrostomy, and other 2 patients underwent the drainage by intra-ureteral cannula with ureteroscope successfully. All the infection indicators above-mentioned were decreased, and the difference was statistically significant. No septic shock and other severe complications happened after the URL. Conclusions The drainage by percutaneous nephrostomy and aggressive anti-infection treatment for patients with ureteral calculus combined with urosepsis is effective for proventing septic shock before URL. Key words: Ureteral Calculi; Punctures; Toxemia; Nephrostomy, Percutaneous