Emergency decompression for patients with ureteral stones and SIRS: a prospective randomized clinical study.

Annals of medicine(2023)

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Abstract
PCN and RUSI were effective methods of emergency decompression in patients with ureteral stone and SIRS. Patients with pyonephrosis and a higher PCT should be carefully treated to prevent the progression to urosepsis after decompression.Key messageIn this study, we evaluate the best choice (PCN or RUSI) for patients who have ureteral stones and SIRS and to examine the risk factors for progression to urosepsis after decompression. This study found that PCN and RUSI were effective methods of emergency decompression. Pyonephrosis and higher PCT were risk factors for patients to develop to urosepsis after decompression.
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Key words
Percutaneous nephrostomy,emergency decompression,retrograde ureteral stent insertion,ureteral stone,urosepsis
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