Efficacy and safety evaluation of ureteral stenting and ultrasound-guided percutaneous nephros-tomy for postrenal acute renal failure in patients with isolated kidney
Objective To evaluate the efficacy and safety of ureteral stenting and ultrasound-guided percutaneous nephrostomy in the treatment of acute postrenal renal failure in patients with soli-tary kidney.Methods Clinical data of 38 acute postrenal renal failure patients with solitary kidney ad-mitted to our hospital and accepted surgical treatment from September 2016 to December 2021 were re-spectively analyzed.Twenty patients underwent transurethral ureteral stenting(ureteral stent group)and 18 patients underwent ultrasound-guided percutaneous nephrostomy(nephrostomy group).Changes in renal function and hemoglobin,postoperative complications and postoperative hospital stay were compared between the two groups before,on the first and third postoperative days.Results All pa-tients accepted emergency surgical treatment,and there were no significant differences in serum creati-nine,serum urea nitrogen and hemoglobin levels before,on the first and third day after surgery be-tween the ureteral stents group and the nephrostomy group(all P＞0.05).There was no significant difference in operative time and postoperative hospital stay between the two groups[(15.3±5.5)min vs.(18.3±6.6)min,(3.8±1.2)d vs.(4.0±1.2)d,all P＞0.05].In the ureteral stent group,there were 7 postoperative complications,all of which were Clavien grade I complications,postopera-tive fever in 3 cases,mild gross hematuria in 4 cases.In the nephrostomy group,there were 7 cases of complications,6 cases of hematuria,1 cases of perirenal hematoma,and there was no significant differ-ence of complications between two groups(P＞0.05).Results Two kind of surgical methods can ef-fectively relieve upper urinary tract obstruction in a short period of time for isolated kidney,with effi-cient and safe way.
NETL
NSTL
万方数据
维普
