西南国防医药2017，Vol.27Issue(5)：456-459,4.DOI:10.3969/j.issn.1004-0188.2017.05.009
PCNL治疗ESWL失败的老年肾结石患者的有效性及安全性
Effects and safety of PCNL for senile patients with kidney stones after failed ESWL
向宸辉 1刘小勇 1王鹏桥 1陈胜龙1
作者信息
- 1. 610500成都,成都医学院第一附属医院泌尿外科
- 折叠
摘要
Abstract
Objective To study the effects and safety of percutaneous nephrolithotripsy (PCNL) for senile patients with kidney stones after failed extracorporeal shock wave lithotripsy (ESWL).Methods a total of 49 senile patients with kidney stones who had failed in ESWL and were to receive PCNL treatment in our hospital were selected to constitute an observation group,and another 65 senile patients with kidney stones who had received no stone related operation but were to receive PCNL treatment in our hospital were selected to constitute a control group.The clinical data,stone removal rate (SRR) and complications between the two groups were analyzed and compared.Results The stones in the observation group were significantly smaller than those in the control group (P ＜ 0.05).There was no statistical difference in other basic data between the two groups (P ＞ 0.05).After PCNL,the SRR in the observation group and the control group was 85.7％ vs 90.8％,showing no statistical difference(P ＞ 0.05).The length of stay (LOS) in the two groups had no statistical difference (P ＞ 0.05),but the operation time in the observation group was significantly longer than that in the control group (110.4 ± 15.9 vs 92.9 ± 13.8)min (P＜ 0.05).The creatinine in the two groups increased and the HGB decreased after the operation,but there was no statistical difference between the groups (P ＞ 0.05).The observation group had higher probability to establish more than two channels (P ＜ 0.05).The most common complication was fever,followed by bleeding.The complication in the two groups showed no statistical difference (18.4％ vs 12.3％,P ＞ 0.05).Conclusion Even though the effects and safety of PCNL for senile patients with kidney stones between those who had failed in ESWL and who have received no stone related operation showed no significance difference,it is more difficult to conduct PCNL on senile patients with kidney stones who have failed in ESWL due to the impacts of ESWL on nephridial tissue and the wrapping of stone fragments by renal mucosa and the operation time is longer.关键词
肾结石/老年/体外冲击波碎石/经皮肾镜/取石术/手术时间Key words
kidney stone/senile patient/ESWL/PCNL/operation time分类
医药卫生引用本文复制引用
向宸辉,刘小勇,王鹏桥,陈胜龙..PCNL治疗ESWL失败的老年肾结石患者的有效性及安全性[J].西南国防医药,2017,27(5):456-459,4.
