摘要
Abstract
Objective To explore the efficacy and safety of minimally invasive percutaneous lithotripsy (MPCNL) in the treatment of elderly patients with renal calculi and mild hydronephrosis.Methods 78 elderly patients with renal calculi and mild hydronephrosis in our hospital from December 2012 to December 2014 were selected as the research object,and divided into two groups according to the random number table method.39cases in control group were treated by traditional open nephrolithotomy,while 39 cases in observation group were treated by MPCNL.The clinical indicators of two groups were compared.Results ① The operation situation:the surgical incision,the amount of bleeding,the operation time of observation group were significantly less than those of control group,with statistically significant differences (P＜0.05);② stone and hydronephrosis situation:the total stone clearance rate and hydronephrosis improvement rate of observation group were significantly higher than those of control group,with statistically significant differences (P＜0.05);③ renal function:before and after treatment,there were no statistically significant differences in Cr,β-MG,eGFR,RBP,and other indicators of renal function between two groups (P＞0.05);④ postoperative complications:the incidence of postoperative complications in observation group was significantly lower than that in control group,with statistically significant difference (P＜0.05);⑤ recurrence:during postoperative follow-up [average (11.3±2.5) months],observation group lost 3 cases,control group lost 4 cases,the recurrence rate of observation group was significantly lower than that of control group,with statistically significant difference (P＜0.05).Conclusion MPCNL in the treatment of elderly patients with renal calculi and mild hydronephrosis has obvious advantages,which is helpful to stone removal and the improvement of hydronephrosis,and can reduce postoperative complications and recurrence,it is worth popularizing.关键词
微创经皮肾镜取石术/高龄/肾结石/轻度肾积水/疗效/安全性Key words
Minimally invasive percutaneous lithotripsy/Elderly/Renal calculi/Mild hydronephrosis/Efficacy/Safety
