Clinical analysis of MPCNL in treating elderly patients with upper ureteral calculi

【Objective】To investigate the effect of minimally percutaneous nephrolithotomy(MPCNL) clinical curative effect in treating senile proximal ureteral calculi patients.【Methods】MPCNL(n = 54)and ureteroscopic lithotripsy(URL)(n = 50)for the treatment of upper ureteral stones in elderly patients admitted at 2010 February to 2012 February were included in this study.Time of operation,hospitalization time,stone-free rate and postoperative complications were compared.【Results】The stone-free rate was increased significantly in MPCNL group,while the average hospitalization time,operation time were prolonged,and the difference was statistically significantly(P 0.05).In group MPCNL,the incidence of postoperative complications was 9.26% and in URL group it was 10% had no significant differences(P 0.05)【.Conclusions】MPCNL and URL have the advantages in the treatment of upper ureteral calculi,but the risk and difficulty of operation,should be considered and then to design a best treatment method.