Objective To compare the efficacy and complication rate of cystoscope indwelling double J tube drainage and percutaneous renal puncture drainage in the treatment of urosepsis complicated with obstruction. Methods: A total of 69 patients with urosepsis who were hospitalized in the First People's Hospital of Jingdezhen from July 2020 to July 2023 were randomly divided into the internal drainage group (n=37) and the external drainage group (n=32). The infection indicators (white blood cell count, neutrophil ratio, procalcitonin), efficacy indicators (postoperative recovery time), success rate of catheterization, incidence of complications and incidence of serious complications were compared between the two groups. Results The incidence of serious complications in the internal drainage group (50%) was significantly higher than that in the external drainage group (16.7%), the difference was statistically significant (P < 0.05). However, there was no significant difference in the total complication rate, postoperative recovery time and the success rate of catheterization between the two groups (P > 0.05). Conclusions In the treatment of urosepsis combined with obstruction, both cystoscopic indwelling double J tube drainage and percutaneous renal puncture drainage can effectively control the infection, and percutaneous renal puncture drainage can reduce the incidence of serious complications.
Keywords: Urinary sepsis; Septic shock; Stents; Percutaneous nephrostomy was performed
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