论文部分内容阅读
目的:探讨斜卧位经皮肾镜取石术治疗高龄高危上尿路结石患者的安全性、有效性及治疗经验。方法:回顾性分析2011年10月至2013年5月采用斜卧位经皮肾镜取石术治疗高龄高危上尿路结石35例患者的临床资料。结果:35例均获成功,无中转开放。一期手术结石取尽28例,体外冲击波碎石3例,二期手术取石4例,结石总取净率92.5%。术中、术后无大出血,感染性休克,周围脏器损伤等严重并发症发生。结论:斜卧位经皮肾镜取石术具有创伤小、安全性高等优点,尤其适用于高龄、高危上尿路结石患者。
Objective: To investigate the safety, efficacy and experience of percutaneous nephrolithotomy in elderly patients with high-risk upper urinary tract calculi. Methods: The clinical data of 35 patients with high-risk upper urinary tract stones treated with oblique nephrolithotomy were retrospectively analyzed from October 2011 to May 2013. Results: 35 cases were successful, no transit open. 28 cases of first-stage operation stones, 3 cases of extracorporeal shock wave lithotripsy, 4 cases of second-stage operation, the total recovery rate of stones was 92.5%. No intraoperative and postoperative bleeding, septic shock, peripheral organ injury and other serious complications occurred. Conclusion: Percutaneous nephrolithotomy in the recumbent position has the advantages of less trauma and higher safety, especially for elderly and high-risk urolithiasis patients.