在老年人中修改的斜皮肤性神经利息切除术:结果和安全性
Kylie Yen-Yi Lim1, Amos Nepacina Liew1, Zihui Ling2
1Department of Urology, Monash Health, Melbourne, VIC 3168, Australia.
Journal of clinical medicine
|July 29, 2023
概括
修改的卧床皮肤透神经切除术 (PCNL) 对老年患者 (≥70岁) 是安全的. 这种技术提供了诸如减少患者处理和良好的石头清除率等好处,这对于老年人来说至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 老年人手术是一门老年人手术.
背景情况:
- 人口老龄化需要对与年龄相关的疾病进行手术技术的评估.
- 修改后的卧底皮肤穿神经切除术 (PCNL) 正在获得吸引力,但老年患者的安全性数据有限.
研究的目的:
- 在70岁及以上的患者中评估修改后卧式PCNL的安全性和有效性.
- 为了评估包括并发症,石头清除和停留时间在这个人口群体中的结果.
主要方法:
- 在10年内对67名患者 (平均年龄为76.5岁) 进行了69次修改后卧式PCNL手术的前性评估.
- 收集的数据包括手术时间,并发症 (Clavien-Dindo分类),石头负担,石头清除和住院时间.
主要成果:
- 在66.7%的患者中,完全清除了石头.
- 在17.4%的患者中出现并发症,大多数是低级 (Clavien-Dindo II或更低).
- 平均手术时间为95分钟;29%的人接受了组合手术.
结论:
- 修改后卧式PCNL是老年患者的一种安全有效的程序.
- 优点包括减少患者处理和有效的石头去除,这对于耐受性有限的老年患者很重要.
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