Ogreden Ercan, Oguz Ural, Demirelli Erhan, Benli Erdal, Özen Özkan
Giresun University, Faculty of Medicine, Department of Urology, Giresun.
Arch Ital Urol Androl. 2018 Mar 31;90(1):15-19. doi: 10.4081/aiua.2018.1.15.
To evaluate the impact of ureteral stent insertion following semirigid ureterorenoscopy (URS) in patients with perirenal fat stranding (PFS) due to ureteral stones.
Data of 600 patients who underwent URS were analyzed retrospectively. Seventy-two patients detected to have PFS accompanying ureteral stone were included. Patients who did not undergo double J (DJ) stent insertion following semirigid URS were classified as Group I (n: 52), while those who underwent stent insertion were classified as Group II (n: 20). Side distribution; localization of the stones, stone size, presence of fever, urinary tract infection (UTIs) and urosepsis rates were compared in the two groups.
The average age of the patients was 44.4 (20-71) years. Male/female ratio and side of the stone location showed similar distribution in both groups (p > 0.05). Fever occurred in 23 cases (44.2%) in Group I and in 15 cases (75%) in Group II (p = 0.038). UTIs occurred in 15 cases (28.9%) in Group I and in 12 cases (60%) in Group II (p = 0.03). Urosepsis presented in 3 (5.8%) and 5 (25%) of the patients in Group I and II, respectively (p = 0.033).
According to our results, ureteral DJ stent insertion following URS in patients with PFS due to ureteral stone caused an increase on postoperative infection related complications.
评估输尿管结石致肾周脂肪条索状影（PFS）患者在半硬性输尿管肾镜检查（URS）后输尿管支架置入的影响。
回顾性分析600例行URS患者的数据。纳入72例检测发现伴有输尿管结石的PFS患者。半硬性URS后未行双J（DJ）支架置入的患者分为I组（n = 52），而行支架置入的患者分为II组（n = 20）。比较两组的患侧分布、结石位置、结石大小、发热情况、尿路感染（UTIs）及尿脓毒症发生率。
患者平均年龄为44.4（20 - 71）岁。两组的男女比例及结石所在侧别分布相似（p > 0.05）。I组23例（44.2%）出现发热，II组15例（75%）出现发热（p = 0.038）。I组15例（28.9%）发生UTIs，II组12例（60%）发生UTIs（p = 0.03）。I组和II组分别有3例（5.8%）和5例（25%）出现尿脓毒症（p = 0.033）。
根据我们的结果，输尿管结石致PFS患者在URS后行输尿管DJ支架置入会增加术后感染相关并发症的发生。
