实用老年医学

实用老年医学 ›› 2021, Vol. 35 ›› Issue (11): 1174-1177.doi: 10.3969/j.issn.1003-9198.2021.11.017

• 临床研究 • 上一篇    下一篇

微通道经皮肾镜碎石取石术治疗老年肾结石的疗效及安全性分析

李茂林, 周洪益   

  1. 214000 江苏省无锡市,南京医科大学附属无锡市人民医院泌尿外科
  • 收稿日期:2021-02-10 发布日期:2021-11-23
  • 通讯作者: 周洪益,Email:zhou_hongyi@163.com

Efficacy and safety of minimally invasive percutaneous nephrolithotomy in the treatment of elderly patients with kidney stones

LI Mao-lin, ZHOU Hong-yi   

  1. Department of Urology, Wuxi People's Hospital of Nanjing Medical University, Wuxi 214000, China
  • Received:2021-02-10 Published:2021-11-23

PDF (PC)

1303

摘要： 目的 评价微通道经皮肾镜碎石取石术治疗老年肾结石的临床疗效以及治疗安全性。 方法 回顾性收集2017～2019年无锡市人民医院泌尿外科运用微通道经皮肾镜碎石取石术治疗的肾结石病人的临床资料。根据年龄分为中青年组(＜60岁)和老年组(≥60岁),比较2组病人的一般情况、结石直径大小、手术时间、肾造瘘保留时间、结石清除率、住院时间、术后并发症等方面的差异。 结果 共收集310例肾结石病人的完整临床资料,其中中青年组168例,老年组142例。老年组病人高血压患病率高于青年组(P＜0.05),美国麻醉医师协会(ASA)分级高于青年组病人(P＜0.01);2组病人尿培养、平均结石大小、平均手术时间、肾造瘘保留时间、住院时间等差异均无统计学意义(P＞0.05);在并发症方面,老年组病人术后发热发生率较高(P＜0.05),其他并发症的发生率2组差异无统计学意义(P＞0.05)。 结论 微通道经皮肾镜碎石取石术治疗老年肾结石临床疗效理想,具有很好的临床应用价值。

关键词: 微通道经皮肾镜碎石取石术;肾结石;并发症;治疗效果;老年人

Abstract: Objective To evaluate the safety and efficacy of minimally invasive percutaneous nephrolithotomy(mPCNL) in the treatment of the elderly patients with kidney stones. Methods The clinical data of the patients with kidney stones treated with mPCNL from 2017 to 2019 were collected, and the patients were divided into the young group (<60 years) and the elderly group (≥60 years).The differences in stone diameter, operation time, retention time of nephrostomy, stone clearance rate, length of hospital stay, postoperative complications between the two groups were analyzed. Results A total of 310 patients were enrolled, including 168 cases in the young group and 142 cases in the elderly group. There were no significant differences in urinary culture, stone size, operation time, retention time of nephrostomy and length of hospital stay between the two groups (P>0.05).There were statistically significant differences in the prevalance rate of hypertension, American Soctety of Anesthesiologists (ASA) degree and the incidence rate of fever after operaion (P<0.05). Conclusions mPCNL for the treatment of kidney stones in the elderly shows good efficacy and safety, with good clinical application value.

Key words: minimally invasive percutaneous nephrolithotomy, kidney stones, complications, efficacy, aged

中图分类号: