CAJ | 학술논문

目的探讨经皮肾镜治疗老年患者上尿路结石的安全性.方法回顾性分析我院采用侧卧位经皮肾微造瘘输尿管镜取石治疗老年上尿路结石19例患者的临床资料.结果 16例一期手术取石成功,3例二期取石.一期手术结石取净率为84%(16/19).术中和术后无输血.术后肺部感染1例,抗感染治疗3 d后体温正常,无其他明显并发症.术后随访平均14个月,B超检查提示肾积水均较术前明显改善,未见结石复发.结论在充分的术前准备,合理的麻醉及术中严密观察及熟练手术操作下,经皮肾镜碎石是治疗老年人复杂上尿路结石的安全有效措施.
목적 탐토경피신경치료노년환자상뇨로결석적안전성.방법 회고성분석아원채용측와위경피신미조루수뇨관경취석치료노년상뇨로결석19례환자적림상자료.결과 16례일기수술취석성공,3례이기취석.일기수술결석취정솔위84%(16/19).술중화술후무수혈.술후폐부감염1례,항감염치료3 d후체온정상,무기타명현병발증.술후수방평균14개월,B초검사제시신적수균교술전명현개선,미견결석복발.결론 재충분적술전준비,합리적마취급술중엄밀관찰급숙련수술조작하,경피신경쇄석시치료노년인복잡상뇨로결석적안전유효조시.
Objective To study the safety of percutaneous nephroseope nephrolithotripsy in treatment of the elderly pa-tients of upper urinary tract calculi. Methods To analyse the 19 cases which had been given the treatment to the elderly pa-tients of upper urinary tract calculi through percutaneous mieronephrostomy and ureteroscopy under side - lying position. Results Sixteen cases achieved stone free at primary procedure,secondary procedure was needed in 3 cases.Stone-free rate was 84% (16/19). There was no blood transfusion. One patient had pulmonary infection after the procedure and recovered 3 days after the administration of antibiotics. No other complication was recorded. In an average 14 month follow-up in 19 patients,hydronephro-sis reduction was significant observed by ultrasound scan. No calculus relapse was found. Conclusions Percutaneous nephro-scope nephrolithotripsy in treatment of the elderly patients of upper urinary tract calculi is the safe and effective measures to suffi-cient preoperative preparation,reasonable anesthetic method,intensive observation intraoperation and proficiency of skills.