局麻与全麻微创经皮肾镜取石术治疗老年肾结石的对比研究

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Abstract Objective To investigate the efficacy and safety of minimally invasive percutaneous nephrolithotomy (MPCNL) under local anesthesia and general anesthesia in the treatment of renal calculi in elderly patients. Methods From January 2019 to March 2020, 84 cases with unilateral renal calculi who received MPCNL treatment in the First Affiliated Hospital of Gannan Medical University were selected as study objects. They were divided into local anesthesia group (experimental group) and general anesthesia group (control group) according to the different anesthesia methods, with 42 patients in each group. 18 F cutaneous and renal channels were established by ultrasound-guided puncture, and holmium laser lithotripsy was performed in two groups. The operation time, postoperative fever, postoperative visual analogue scale (VAS) score, calculus residual rate, postoperative hospitalization time and hospitalization cost were compared between two groups. Results The operation time and postoperative hospitalization time of experimental group were shorter than those of control group, and VAS score and hospitalization cost were lower than those of control group, with statistically significant differences (all P < 0.05). There were no significant differences in the postoperative fever rate, calculus residual rate between two groups (P > 0.05). Conclusion Compared with MPCNL under general anesthesia, MPCNL under local anesthesia has the same therapeutic effect. MPCNL under local anesthesia has shorter operative time and hospitalization time, no need to resuscitate in the resuscitation room after surgery, less postoperative pain and hospitalization cost, which is worthy of clinical promotion and application.

Key words： Local anesthesia Minimally invasive percutaneous nephrolithotomy Elderly

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	LI Yanmin1
	2 WU Gengqing1
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LI Yanmin1,2 WU Gengqing1,2. Comparative study of minimally invasive percutaneous nephrolithotomy under local anesthesia and general anesthesia in the treatment of renal calculi in elderly patients[J]. 中国医药导报, 2020, 17(22): 94-97.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I22/94

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