Comparison of the efficacy of percutaneous nephrostomy with central venous catheter and transurethral ureteroscopic catheterization in the emergency decompression of urinary sepsis

Abstract

Objective To investigate the effects and advantages of central venous catheter for percutaneous nephrostomy and transurethral ureteral catheter insertion in the treatment of emergency ureteral calculus obstruction induced urinary sepsis. Methods From June 2013 to June 2018, a retrospective analysis about clinical data of 86 patients with the urinary sepsis treated with central venous catheter for percutaneous nephrostomy(experimental group)and 72 patients treated with transurethral ureteral catheter insertion(control group). The general condition, curative effects, complication and other information from two groups were evaluated. Results The genal clinical data between the two groups had no significant difference (P>0.05). The achievement ratio of operation between the two group had no significant difference(P>0.05). The operation time of the experimental group was shorter than control group[(16.0±4.3)min vs.(20.9±6.7)min, P 0.05) . Conclusions Both central venous catheter for percutaneous nephrostomy and transurethral ureteral catheter insertion are safe and effective for the treatment of urinary sepsis. But Percutaneous nephrostomy with central venous catheter can control infection in a shorter time, is more effective in preventing the aggravation of infection, it is better than transurethral ureteral catheter insertion, which is worth of being generalized. Key words: Ureteral Calculi; Sepsis; Central Venous Catheters; Nephrostomy, Percutaneous; Ureteroscopy