在老年人中比较同坐双边与单边逆行性内外科手术
Chu Ann Chai1, Bhaskar Somani2, Daniele Castellani3
1University Malaya, Department of Surgery Urology Unit, Kuala Lumpur, Malaysia.
Urology
|February 28, 2024
概括
在老年患者中,双边逆行性内手术 (RIRS) 显示出比单边RIRS更高的并发症率. 然而,建议在这个年龄段对双边RIRS进行仔细考虑和术前咨询.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 老年医学 老年医学
背景情况:
- 老年患者在结石治疗方面存在独特的挑战.
- 逆行性内手术 (RIRS) 是对结石的最小侵入性选择.
研究的目的:
- 在70岁及以上的患者中,比较同坐双边与单边RIRS的结果.
- 评估老年RIRS患者的术后并发症和无结石率 (SFR).
主要方法:
- 来自两个多中心数据库的数据分析:FLEXOR (单边RIRS) 和SSB-RIRS (双边RIRS).
- 包括70岁以上的患者,接受了手术前的计算机断层扫描.
- 分类为第一组 (双边RIRS,n=146) 和第二组 (单边RIRS,n=495).
主要成果:
- 双边RIRS (1组) 涉及老年患者,患有复发性和较大的骨盆结石,需要更长的手术时间.
- 单边RIRS (2组) 的无石率显著更高.
- 1组与2组相比,有更多的骨盆伤,术后发烧和出血症.
结论:
- 在老年患者中可以考虑双边RIRS,但需要仔细的患者选择和咨询.
- 需要进一步的研究,以优化老年RIRS患者的手术和激光策略.
- 在这种人群中,手术前咨询对于初级和重复的RIRS手术至关重要.
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