老年双侧上尿路结石同期应用球囊扩张经皮肾镜碎石安全性分析

Safety of percutaneous nephrolithotomy with balloon dilation on elderly bilateral urinary stone patients in the same period

目的:评价球囊扩张经皮肾镜取石术(PCNL)在老年双侧上尿路结石同期应用的安全性。方法:分析老年双侧上尿路结石患者354例,双侧同期完成PCNL碎石129例(双侧同期组),双侧分期完成PCNL碎石225例(双侧分期组),比较两组平均手术时间、术后结石总清除率、平均住院日、输血率、并发症发生率等方面的差异。结果:两组间的结石平均直径、平均手术时间、结石总清除率、输血率及并发症发生率差异无统计学意义(P>0.05);双侧同期组术后住院时间显著低于双侧分期组(4.89±2.4)d vs.(10.35±2.35)d(P<0.05)。结论:老年性双侧上尿路结石采用球囊扩张双侧同期进行经皮肾镜取石术(PCNL)的方法取石较双侧分期手术未增加手术风险,且住院时间短,安全有效。

Objective:To evaluate the safety of percutaneous nephrolithotomy(PCNL)with balloon dilation on elderly bilateral urinary stone patients in the same period.Methods:A total of 354 cases of elderly patients with bilateral upper urinary tract calculi were analyzed,in which PCNL was completed bilaterally in the same period in129cases(bilateral same group),and bilaterally by staging PCNL in 225cases(bilateral staging group).Average operation time,total stone clearance rate,average length of hospital stay,blood transfusion rate,incidence of complications,etc.were compared between these two groups.Result:There was no significant difference in the average diameter,average operation time,total clearance rate,blood transfusion rate and complication rate between the two groups(P>0.05).The length of hospital stay in the bilateral same group was significantly shorter than in the bilateral staging group[(4.89±2.4)days vs.(10.35±2.35)days,P<0.05].Conclusions:Elderly patients with bilateral upper urinary tract calculi treated with PCNL with balloon dilation in the same period is safe and effective with shorter hospital stay without increasing the risk of surgery,compared with bilateral staging surgery.