Clinical effect of ultrasound combined with DSA in emergency percutaneous nephrostomy of patients with acute obstructive pyonephrosis

doi:10.3877/cma.j.issn.2095-5782.2018.03.013

Abstract

Abstract:

Objective:

To investigate the clinical effect of ultrasound combined with DSA in emergency percutaneous nephrostomy of patients with acute obstructive pyonephrosis.

Methods:

From June 2015 to June 2017, 31 patients with acute obstructive pyonephrosis underwent percutaneous nerphrostomy in our department. The clinical data, such as WBC, NEUR, CRP and PCT were analyzed before and after percutaneous nerphrostomy.

Results:

Thirty-one patients were treated with emergency percutaneous nerphrostomy, including 27 unilateral and 4 bilateral percutaneous nerphrostomy. The total number was 35 times of percutaneous nerphrostomy. After 3 d of procedure, the data of WBC, NEUR, CRP and PCT declined obviously compared with those before procedure, and the difference was statistical.

Conclusion:

Ultrasound combined with DSA for the emergency treatment of patients with acute obstructive pyonephrosis with high surgical success rate and fewer complications could significantly improve the prognosis of patients combined with anti-infection treatment.

Key words: Ultrasound, DSA, Percutaneous nerphrostomy, Acute obstructive pyonephrosis

Chuan Xu, Penghua Lyu, Ling Sun, Shuxiang Wang, Wenjie Zhou, Bo Yan, Wennuo Huang. Clinical effect of ultrasound combined with DSA in emergency percutaneous nephrostomy of patients with acute obstructive pyonephrosis[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2018, 06(03): 243-246.

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References 12

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时点	WBC(×10⁹/L)	NEUR(%)	CRP(mg/L)	PCT(μg/L)
术前	14.3±5.3	85.7±5.1	69.1±29.3	1.4±0.5
术后	8.6±2.3	73.3±4.7	31.4±27.4	0.6±0.4
t值	7.53	9.01	5.93	5.04
P值	0.023	0.041	0.005	0.013

时点	WBC(×10⁹/L)	NEUR(%)	CRP(mg/L)	PCT(μg/L)
术前	14.3±5.3	85.7±5.1	69.1±29.3	1.4±0.5
术后	8.6±2.3	73.3±4.7	31.4±27.4	0.6±0.4
t值	7.53	9.01	5.93	5.04
P值	0.023	0.041	0.005	0.013

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