Results of treatment of acute pyelonephritis caused by ureteral stones by percutaneous nephrostomy at 108 Military Central Hospital
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Abstract
Objective: To evaluate the results of treatment of severe acute pyelonephritis due to ureteral stones by percutaneous nephrostomy at 108 Military Central Hospital. Subject and method: A study of 50 patients undergoing percutaneous nephrostomy for severe acute pyelonephritis caused by ureteral stones at the Urology - Andrology Center, 108 Military Central Hospital from 10/2020 to 6/2022. Result: The mean age was 60.8 ± 11.6 (age), high fever, shiver accounted for 92%, pyelonephritis grade 4 and grade 5 accounted for 76%. 100% success rate, 92% of patients improved clinically on the first day after drainage. Conclusion: Percutaneous nephrostomy is a simple, safe and effective method for the treatment of severe acute pyelonephritis due to ureteral stones.
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References
2. Oredin-McCoy O, Goldsmith ZG, Gerber L et al (2013) Emergent ureteric stent vs percutaneous nephrostomy for obstructive urolithiasis with sepsis: Patterns of use and outcomes from a 15 year experience. BJU Int 115(5): 31-34.
3. Tiselius HG, Preminger GM, Assimos DG et al (2007) Guideline for the management of ureteral calculi. J Urol 178: 2418-34.
4. Torres VE, Gloor JM et al (1995) Reflux and Obstructive Nephropathy. Nihon Rinsho 53(8): 2019-2026.
5. Bjerklund TE, Johansen MG, Botto H (2013) Guidelines on Urological Infections, urological infections. Limited update march: 13-14.
6. Trần Hữu Toàn, Ngô Xuân Thái (2021) Giá trị của điểm số qSOFA, SOFA trong chẩn đoán và kết quả điều trị nhiễm khuẩn huyết và choáng nhiễm khuẩn ở bệnh nhân bế tắc đường tiết niệu trên. Tạp chí Y Dược học - Trường Đại học Y Dược Huế. Số đặc biệt tháng 01/2021.
7. Khoo KSM, Lim ZY, Chai CY et al (2020) Management of acute pyelonephritis in the emergency department observation unit. BMJ 10(1): 21.
8. Lê Đình Đạm (2021) Nghiên cứu điều trị nhiễm khuẩn ở bệnh nhân tắc nghẽn đường tiết niệu trên do sỏi. Luận án Tiến sĩ Y học.
9. Xu RY, Liu HW, Liu JL et al (2014) Procalcitonin and Creactive protein in urinary tract infection diagnosis. BMC Urol 14(2): 45.