老年人的尿路透镜:安全性和功能性结果
Ilona Pilosov Solomon1, Ilan Klein2, Yuval Friefeld2
1Department of Urology, Carmel Medical Center, 7 Michal St, 3436212, Haifa, Israel. ilonaf15@gmail.com.
World journal of urology
|June 19, 2023
概括
尿路透镜 (URS) 是80岁及以上患者尿路结石的有效和安全治疗方法. 较大的石头大小 (≥10毫米) 是主要并发症的唯一确定的危险因素,整体并发症率较低.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 老年医学 老年医学
- 外科手术的结果
背景情况:
- 尿路结石病影响着越来越多的老年人群.
- 对患有尿路结石的老年患者的治疗选择需要仔细考虑安全性和有效性.
- 尿道透视 (URS) 是一种最少的侵入性选择,但其在八十岁人群中的使用需要评估.
研究的目的:
- 评估尿道镜 (URS) 治疗80岁及以上患者尿路结石的有效性和安全性.
- 为了确定这种特定患者队列中并发症的潜在风险因素.
主要方法:
- 一项对96名年龄在80岁以上,在2012年至2021年期间接受了尿路结石疾病的尿路结石治疗的患者的回顾性审查.
- 对患者人口统计学,石头特征,手术细节和短期手术结果的分析.
- 使用Clavien-Dindo分类来评估无石头率和并发症率.
主要成果:
- 平均石头直径为10.6毫米,平均手术时间为78分钟.
- 整体没有石头的比率为73.9%.
- 在20.7%的患者中发生轻微并发症,在5.7%的患者中发生重大并发症 (Clavien-Dindo III-V). 石块大小≥10毫米是主要并发症 (OR 1.25) 的重要预测因素. 手术前的尿道排水没有影响结果.
结论:
- 尿路透镜是对老年患者 (≥80岁) 治疗结石和尿路结石的相对安全和有效的程序.
- 严重并发症的风险很低,石头大小≥10毫米是首要确定的危险因素.
- 在手术前的尿道排水策略似乎没有影响这种人群中无结石率或重大并发症发生率.
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