Kandel L B
Department of Urology, State University of New York, Stony Brook 11794-8093.
Am J Kidney Dis. 1990 Oct;16(4):329-31. doi: 10.1016/s0272-6386(12)80012-6.
The management of renal calculi in the geriatric patient population poses some unique problems that include anesthetic risks, underlying medical disease, and general risk/benefit concerns. A variety of relatively noninvasive procedures are available, including extracorporeal shock wave lithotripsy (ESWL) and percutaneous nephrostolithotomy (PCNL). A practical management plan is presented that is based primarily on stone size and takes into consideration problems unique to the elderly patient.
老年患者肾结石的管理存在一些独特问题，包括麻醉风险、潜在内科疾病以及总体风险/获益问题。有多种相对无创的治疗方法可供选择，包括体外冲击波碎石术（ESWL）和经皮肾镜取石术（PCNL）。本文提出了一个实用的管理方案，该方案主要基于结石大小，并考虑到老年患者的独特问题。
