五项修改脆弱指数是否预测逆行性内外科手术后的不良结果? 由RIR研究小组进行的案例对照研究
Cem Başataç1, Muhammed Fatih Şimşekoğlu2, Kerem Teke3
1Faculty of Medicine, Department of Urology, Demiroglu Bilim University, Istanbul, Turkey.
Journal of laparoendoscopic & advanced surgical techniques. Part A
|February 14, 2025
概括
严重脆弱的患者接受逆行性内手术以治疗上道结石,与非脆弱的患者相比,经历了类似的结果和并发症率. 这表明程序的程序.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
- 老年人手术是一门老年手术.
背景情况:
- 脆弱性越来越被认为是影响外科手术结果的重要因素.
- 评估脆弱对接受微创性泌尿外科手术的患者的影响对于风险分层至关重要.
研究的目的:
- 为了评估脆弱性和并发症或手术结果之间的关联,在患者进行逆行性内手术 (RIRS) 上道尿路结石.
- 为了确定严重脆弱的患者在RIRS后是否有更糟糕的结果.
主要方法:
- 对340名接受上路结石RIRS治疗的患者进行了回顾性分析.
- 使用5项修改脆弱指数 (mFI-5) 评估脆弱性,患者被分类为脆弱 (mFI-5 ≥2) 或非脆弱 (mFI-5 <2).
- 在匹配混因子后,在脆弱和非脆弱组之间比较手术结果,并发症率和无石头率.
主要成果:
- 在匹配后,分析了255名非虚弱患者和85名虚弱患者.
- 在手术时间,住院时间,手术后并发症 (7.6%对9.4%),术后并发症 (13.8%对11.8%),或无石头率 (70.9%对72.9%) 之间没有观察到显著差异.
- 在脆弱和非脆弱群体之间,基线特征是相似的.
结论:
- 逆行性内手术在患上上道结石的严重脆弱患者中显示出相似的安全性和有效性.
- 根据mFI-5评分≥2的定义,虚弱状态似乎不是RIRS后不良结果的重要预测因素.
- 即使在极度脆弱的个体中,RIRS也是上尿路结石的可行和有效的治疗选择.
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