COVID-19 パンデミック中の腎臓石の管理における障害: 一つのセンターでの遡及的研究
Adrian Militaru1,2, Catalin Andrei Bulai1,2, Razvan Dragos Multescu1,2
1"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Maedica
|August 29, 2025
まとめ
COVID-19 パンデミックは腎臓石の入院を46%減少させ,最小侵襲的な手術を好むが,患者の石抜き率は低下した.
科学分野:
- 泌尿器科
- 腎臓科
- 公衆衛生
背景:
- COVID-19 パンデミックは,世界的に医療システムに前例のない課題をもたらしました.
- 腎臓石の管理プロトコルは著しく影響を受け,治療戦略の適応が求められました.
研究 の 目的:
- 一つのセンターで腎臓石の管理に及ぼすCOVID-19の影響を評価する.
- 治療方法,患者のアウトカム,およびパンデミック前とパンデミック中の腎臓石に対する医療の提供を比較する.
主な方法:
- 2019年7月~9月 (流行前) と2020年7月~9月 (流行後) に治療を受けた腎臓石患者との比較を遡って分析した.
- 評価された主な指標には,入院率,治療方法,手術時間,入院期間,石抜き率が含まれています.
主要な成果:
- パンデミック期間中に腎臓石入院が46%減少した.
- 最低侵襲的処置,特に柔軟な尿管顕微鏡の使用が増加する傾向がありました.
- 同様の手術時間と入院期間にもかかわらず,結石のない割合はパンデミック中に著しく減少しました (91.1% vs 84.07%).
結論:
- COVID-19 パンデミックは腎臓石の管理を大幅に妨げました.
- 侵襲的外科手術はより一般的になったが,患者のアウトカム,特に石抜き率は悪影響を受けた.
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