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目的探讨微创经皮肾镜取石术治疗老年高危上尿路结石的有效性及安全性。方法将年龄≥70岁,且至少合并一种心、脑、肺、肾、肝及糖尿病的上尿路结石患者定为老年高危患者。对41例老年高危上尿路结石患者运用微创经皮肾镜取石术(MPCNL)的资料进行回顾性分析。结果41例治疗均获成功,一次取净结石30例,二次取净结石2例,三次取净结石2例;结石总取净率82.9%。平均手术时间120 m in。平均术中出血量46m l,平均住院时间10 d。无严重并发症发生。结论微创经皮肾镜取石术治疗老年高危上尿路结石创伤小,出血少,结石取净率高,并发症少,恢复快。
Objective To investigate the efficacy and safety of minimally invasive percutaneous nephrolithotomy in the treatment of upper urinary tract stones in the elderly. Methods Patients with upper urinary tract stones aged ≥70 years who had at least one heart, brain, lung, kidney, liver and diabetes mellitus were enrolled as elderly high-risk patients. A retrospective analysis of 41 elderly patients with high-risk upper urinary tract stones using minimally invasive percutaneous nephrolithotomy (MPCNL) was performed. Results All the 41 cases were successful. Thirty cases were treated with net stones one after the other, two cases with net stones two times and two cases with net stones three times. The total removal rate of stones was 82.9%. The average operation time was 120 mins. The average blood loss 46m l, the average length of stay 10d. No serious complications occurred. Conclusion Minimally invasive percutaneous nephrolithotomy for the treatment of upper urinary tract calculi in elderly patients with less trauma, less bleeding, high rate of stone removal, fewer complications and rapid recovery.