摘要
目的探讨斜仰卧位经皮肾镜取石术治疗高龄高危肾结石患者的安全性及疗效。方法回顾性分析2007年3月至2011年10月,采用斜仰卧位经皮肾镜取石术治疗32例高龄高危肾结石患者资料。术前积极处理合并症,将手术风险降低至最低限度后行斜仰卧位经皮肾镜取石术。结果本组32例手术均顺利。手术时间12～75min,平均45min。住院时间平均8.6d,一期手术结石取尽26例,3例行体外冲击波碎石,3例行二期手术取石,结石总取净率87.5%。术中、术后无大出血、周围脏器损伤等严重并发症发生,术中未见肾盂输尿管穿孔,仅1例需术后输血,5例患者术后发热。结论斜仰卧位经皮肾镜取石术具有创伤小安全性等高优点,尤其适用于高龄、高危肾结石患者。
Objective To investigate the safety and therapeutic effect of percutaneous nephrolitho- tomy （PCNL） in bolique supine position for the treatment of senile and high-risk patients with kidney stones. Methods The data of 32 senile and high-risk patients with kidney stones treated with percuta- neous nephrolithotomy in oblique supine position between March 2007 and October 2011, were analysed retrospectively. They were treated preoperatively to minimize risk of operation,then performed pereutaneous nephrolithotomy in oblique supine position. Results All the procedures were performed successfully. The operative time was 12-75 min （mean 45 min）. The mean hospital stay was 8.6 d, 26 cases were rendered free of stones by initial PCNL, and PCNL was performed in 3 cases to clear the residual stones, other 3 cas- es by ESWL. The stone free rate was 87.5%. There were no severe hemorhage in these cases, no pelvic or ureter perforation was recorded, one case required blood transfusion, fever happened postoperatively in 5 cases. Conclusions Percutaneous nephrolithotomy in oblique supine position has less trauma and high safety advantages, especially for the senile, high-risk patients with kidney stones.
出处
《中华腔镜泌尿外科杂志（电子版）》
2012年第4期12-14,共3页
Chinese Journal of Endourology(Electronic Edition)
基金
广东省东莞市科技计划项目(201110515001078)
关键词
肾结石
体位
经皮肾镜取石术
高龄高危
Kidney calculi
Position
Percutaneous nephrolithotomy
Senile and high-risk
