Clinical study on acute obstructive pyelonephritis associated with upper urinary tract calculi

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  • 大阪労災病院における結石性腎盂腎炎の臨床的検討
  • オオサカ ロウサイ ビョウイン ニ オケル ケッセキセイジンウジンエン ノ リンショウテキ ケントウ

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Abstract

<p>  Objective : To evaluate how to treat acute obstructive pyelonephritis associated with upper urinary tract calculi at Osaka Rosai Hospital in a conventional manner.</p><p>  Methods : Seventy-three patients who had received hospital treatment between 2007 to 2018 were analyzed regarding the presence or absence of ureteral stent placement.</p><p>  Results : Twenty-seven nonstented patients had a significantly smaller stone size (7 vs. 10 mm, respectively, p=0.0393) and fewer WBC (12,000 vs. 15,900, respectively, p=0.0428) and neutrophils (9,354 vs. 11,882, respectively, p=0.0199) than 46 stented patients. TUL, ESWL, and nephrectomy were performed in 22, 32 (+TUL in 5), and 1 patient, respectively. Fourteen patients passed ureteral stones without treatment. Four patients could not undergo treatment because of poor ADL and high risks associated with surgery, and so they underwent stent replacement. Stone- and stent-free rates were 84 and 95%, respectively.</p><p>  Conclusion : Our conventional treatment was suggested to be useful.</p>

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