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目的:探讨经皮肾微造瘘联合二期经皮肾镜碎石术治疗上尿路结石并感染性休克的临床疗效。方法:对12例上尿路石并感染性休克患者在积极抗感染及抗休克治疗的同时行经皮肾微造瘘术,并于术后1～4周行二期经皮肾镜碎石术。结果:12例患者肾造瘘术均顺利完成,感染及休克症状得到控制。二期手术均顺利完成,结石基本完全清除。结论:对于上尿路结石并感染性休克患者,早期行经皮肾脏微造瘘能有效控制感染及休克症状,联合二期经皮肾镜碎石术能完整清除结石,临床效果满意。
Objective: To investigate the clinical effect of percutaneous nephrostomy combined with second-stage percutaneous nephrolithotomy on upper urinary calculi and septic shock. Methods: Percutaneous nephrostomy was performed in 12 patients with upper urinary tract stones and septic shock while active anti-infective and anti-shock treatment. Two-stage percutaneous nephrolithotomy was performed at 1 to 4 weeks after operation. . Results: Nephrostomy was successfully completed in 12 patients and the infection and shock symptoms were controlled. The two surgeries were successfully completed, the stones were completely eliminated. Conclusion: For patients with upper urinary tract calculi and septic shock, early percutaneous nephrostomy can effectively control the infection and shock symptoms. Combined with second stage percutaneous nephrolithotomy can completely remove stones, the clinical effect is satisfactory.