Percutaneous Nephrostomy versus Ureteral Stent for Severe Urinary Tract Infection with Obstructive Urolithiasis: A Systematic Review and Meta-Analysis

医学 经皮肾造口术 肾积水 优势比 泌尿科 置信区间 支架 泌尿系统 荟萃分析 经皮 输尿管 外科 内科学
作者
Young Joon Moon,Dae Young Jun,Jae Yong Jeong,Seok Cho,Joo Yong Lee,Hae Do Jung
出处
期刊:Medicina-lithuania [MDPI AG]
卷期号:60 (6): 861-861
标识
DOI:10.3390/medicina60060861
摘要

Background and Objectives: The European Association of Urology guidelines on urolithiasis highlight the limited evidence supporting the superiority of percutaneous nephrostomy (PCN) over retrograde ureteral stent placement for the primary treatment of infected hydronephrosis secondary to urolithiasis. We, therefore, conducted a systematic review and meta-analysis comparing the effects of PCN and retrograde ureteral stent in patients with severe urinary tract infections secondary to obstructive urolithiasis. Materials and Methods: Meta-analyses were performed to compare four outcomes: time for the temperature to return to normal; time for the white blood cell (WBC) count to return to normal; hospital length of stay; and procedure success rate. After a full-text review, eight studies were identified as relevant and included in our systematic review and meta-analysis. Results: No significant difference was detected between PCN and retrograde ureteral stenting for the time for the temperature to return to normal (p = 0.13; mean difference [MD] = −0.74; 95% confidence interval [CI] = −1.69, 0.21; I2 = 96%) or the time for the WBC count to return to normal (p = 0.24; MD = 0.46; 95% CI = −0.30, 1.21; I2 = 85%). There was also no significant difference between methods for hospital length of stay (p = 0.78; MD = 0.45; 95% CI = −2.78, 3.68; I2 = 96%) or procedure success rate (p = 0.76; odds ratio = 0.86; 95% CI = 0.34, 2.20; I2 = 47%). Conclusions: The clinical outcomes related to efficacy did not differ between PCN and retrograde ureteral stenting for severe urinary tract infection with obstructive urolithiasis. Thus, the choice between procedures depends mainly on the urologist’s or patient’s preferences.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
NSS完成签到,获得积分10
1秒前
fouli发布了新的文献求助10
1秒前
李健的小迷弟应助yyy采纳,获得10
1秒前
黄金天下发布了新的文献求助10
2秒前
科研通AI5应助烟花采纳,获得10
2秒前
2秒前
风华发布了新的文献求助10
3秒前
曙光发布了新的文献求助10
3秒前
拓跋天思完成签到,获得积分10
3秒前
4秒前
5秒前
一一应助茶色玻璃采纳,获得10
5秒前
7秒前
8秒前
hh发布了新的文献求助10
8秒前
fouli完成签到,获得积分10
9秒前
斯文败类应助快乐的睫毛采纳,获得10
9秒前
英姑应助曙光采纳,获得10
9秒前
万能图书馆应助温暖的火采纳,获得10
10秒前
斯文败类应助科研狗采纳,获得10
10秒前
11秒前
迟大猫应助花见月开采纳,获得10
11秒前
小李同学完成签到,获得积分10
12秒前
12秒前
顾矜应助王晓萌采纳,获得10
12秒前
12秒前
廉剑身发布了新的文献求助10
13秒前
科研通AI5应助风华采纳,获得10
13秒前
14秒前
可爱的函函应助hh采纳,获得10
14秒前
生动向日葵完成签到,获得积分20
16秒前
小土狗完成签到,获得积分10
16秒前
aco完成签到 ,获得积分20
16秒前
烟花发布了新的文献求助10
17秒前
myy完成签到,获得积分10
18秒前
18秒前
刘七七努力搞科研完成签到 ,获得积分10
18秒前
19秒前
小土狗发布了新的文献求助10
19秒前
廉剑身完成签到,获得积分10
20秒前
高分求助中
Continuum Thermodynamics and Material Modelling 4000
Production Logging: Theoretical and Interpretive Elements 2700
Les Mantodea de Guyane Insecta, Polyneoptera 1000
Unseen Mendieta: The Unpublished Works of Ana Mendieta 1000
Theory of Block Polymer Self-Assembly 750
Neuromuscular and Electrodiagnostic Medicine Board Review 700
海南省蛇咬伤流行病学特征与预后影响因素分析 680
热门求助领域 (近24小时)
化学 材料科学 生物 医学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 细胞生物学 量子力学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3508913
求助须知:如何正确求助?哪些是违规求助? 3092426
关于积分的说明 9211816
捐赠科研通 2785908
什么是DOI,文献DOI怎么找? 1529064
邀请新用户注册赠送积分活动 710221
科研通“疑难数据库(出版商)”最低求助积分说明 705901