摘要
目的探讨微创经皮肾镜取石术治疗70岁以上老年人上尿路结石的疗效和安全性。方法2006年9月-2011年8月，应用微创经皮肾镜取石术治疗70岁以上老年人上尿路结石56例，对手术时间、结石清除率、手术并发症等临床资料进行回顾性分析。结果所有患者均一期成功建立皮肤肾脏通道，51例行一期碎石术，5例行二期碎石术；单通道碎石53例，双通道碎石3例。手术时间23～95min，平均（33±8．2）min。平均出血量为（151±55．7）ml，2例术中出血较多分别输血400和600ml，无术后出血严重需采用高选择性肾动脉栓塞治疗者，无气胸、腹腔脏器损伤等并发症发生。1例患者术后1天出现肺栓塞，经抢救后治愈。术后复查，52例结石取尽，清石率为92．9％。结论微创经皮肾镜取石术治疗70岁以上老年人上尿路结石是安全的、临床效果满意。
Objectives To evaluate the efficacy and safety of minimally invasive percutaneous nephrolithotomy （MPCNL） to treat upper urinary tract calculi in the elderly over 70 years. Methods 56patients 70 - 81 years old underwent IdPCNL from Sep 2008 to Aug 2011, the clinical data including the mean operating time, phase - I stone free - rate and complications were retrospectively analyzed. Results The pereutaneous renal access was successfully established in 56 patients, I period lithotripsy was performed in 51 cases, II period lithotripsy were performed in 5 cases. Single tract was used in 53 cases, double tract were used in 3 cases. The mean operating time was （33 ±8.2 ）min, mean blood loss （ 151 ± 55.7 ） ml, 2 cases needed transfusion. No cases underwent hyperselective angloembolization for bleeding control, one case pulmonary embolism occurred and was cured. The phase - I stone free - rate was 92.9%. Conclusions The treatment of upper urinary tract calculi with percutaneous nephrolithotomy appears to be safe and efficacious in the elderly over 70 years.
出处
《国际泌尿系统杂志》
2012年第1期47-49,共3页
International Journal of Urology and Nephrology
