老年女性肾输尿管结石合并化脓性肾盂肾炎的小通道经皮肾镜取石术

Small-tract percutaneous nephrolithotomy for an elderly female with renal and ureteral stones complicated by pyogenic kidney.

作者信息

Fan Difu, Song Leming, Luo Chunxiang, Li Monong, Michel Jack, Xie Donghua

机构信息

Department of Urology, The Affiliated Ganzhou Hospital of Nanchang University, Ganzhou People's Hospital, Jiangxi Province, Ganzhou, Jiangxi, 341000, China.

Liaobu Township Community Health Service Center, Dongguan, Guangdong, 523430, China.

出版信息

Urol Case Rep. 2020 Oct 20;34:101457. doi: 10.1016/j.eucr.2020.101457. eCollection 2021 Jan.

DOI:10.1016/j.eucr.2020.101457

PMID:33134085

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7585939/

Abstract

Percutaneous nephrolithotomy (PCNL) is feasible in the extremely elderly patients. However, there were higher rate of complications and longer hospitalizations. The case presented is a 95-year-old female who was admitted to the hospital and was diagnosed with multiple stones in the right kidney and upper ureter with right renal effusion and infection, urosepsis, and chronic bronchitis. After sufficient preoperative preparation, small-tract PCNL under vacuum suctioning was performed using the left lateral position under combined lumbar spinal and epidural anesthesia. The patient recovered and was discharged smoothly on schedule. Good clinical and social effects have achieved.

摘要

经皮肾镜取石术（PCNL）在高龄患者中是可行的。然而，并发症发生率较高且住院时间较长。本文报道的病例是一名95岁女性，因右肾及上段输尿管多发结石伴右肾积液、感染、尿脓毒症和慢性支气管炎入院。经过充分的术前准备，在腰麻联合硬膜外麻醉下采用左侧卧位，在负压吸引下行微通道PCNL。患者康复并如期顺利出院，取得了良好的临床和社会效益。