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老年人尿尿管镜的有效性和安全性:系统性审查和元分析

Minna Shen¹, Minqiang Shen²

¹Department of Surgery, Huzhou Third Municipal Hospital, the Affiliated Hospital of Huzhou University, Huzhou City, Zhejiang Province, China.

|May 13, 2025

概括

尿道透镜 (URS) 对患有结石的老年患者来说是安全有效的,与年轻人相比,其无结石率和并发症风险相似. 然而,老年患者可能需要更长的住院时间.

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
内分泌病学在内分泌病学.

背景情况:

尿道透镜 (URS) 是治疗脏和上尿道结石的标准程序.
在老年人群中,URS的安全性和有效性仍然不完全理解.

研究的目的:

进行第一个元分析,比较老年 (≥60或65岁) 和非老年患者之间的URS结果.
评估无石头率 (SFR),并发症率和住院时间 (LOS).

主要方法:

在Embase,PubMed,Web of Science和Scopus数据库中进行全面的文献搜索,截至2024年9月2日.
包括九项研究,比较老年人与非老年患者的URS结果.
对SFR,整体并发症和特定并发症类型 (传染性,医疗,外科,Clavien-Dindo等级≥2) 的综合分析.

主要成果:

在老年人和非老年人群之间,无石质率 (SFR) 没有显著差异 (OR:0.96;95% CI:0.81,1.14).
年龄组之间的整体并发症率或特定并发症类型没有统计学上显著的差异.
与非老年患者相比,老年患者的住院时间 (LOS) 显着更长 (MD: 0.75; 95% CI: 0.05, 1.45).

结论:

尿道透镜 (URS) 是对患有结石的老年患者的一种有效和安全的手术.
老年患者 (≥60或65岁) 显示出与年轻患者相比的无结石率和并发症概况.
对接受URS的老年患者来说,住院时间可能会增加,因此需要通过更强大的研究进一步调查.

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