尿路透镜检查老年人的石头疾病. 它是安全有效的吗? 一个系统的审查和元分析
Alejandro Calvillo-Ramirez1, Jesse Sanchez Cardenas2, Christopher J Del Rio-Martinez3
1Urology Institute, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA. acalvillo@edu.uag.mx.
World journal of urology
|August 11, 2025
概括
尿路透镜 (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. 老年患者可能会经历更长的住院时间,但可比的手术时间.
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
- 手术结果研究研究.
背景情况:
- 预期寿命的增加导致老年人更需要泌尿外科护理.
- 尿道透视 (URS) 是结石<2厘米的主要治疗方法,但其在老年人中的应用研究不足.
研究的目的:
- 为了比较URS在老年患者和年轻患者的结石治疗中的安全性和有效性.
- 评估结果,包括无石头率,并发症,手术时间和停留时间.
主要方法:
- 一项对比老年患者和年轻患者URS结果的研究的系统分析.
- 研究按年龄划分分层次 (≥60,≥65,≥75,≥80,≥85岁).
- 主要结果:无石头率 (SFR) 和并发症;次要结果:手术时间 (OT),停留时间 (LOS),重新干预.
主要成果:
- 分析了14项涉及7664名患者的研究.
- 年龄组之间的SFR (OR 1.03) 或轻微/重大并发症 (OR 1.23/1.41) 没有显著差异.
- 老年患者的LOS较长 (MD 0.97),但OT和再干预率相似.
结论:
- 对于需要积极治疗结石的老年患者来说,URS是一种可行的治疗方法.
- 该程序的疗效和安全性与年轻人相比相当,并没有增加并发症风险.
- 预计老年人住院时间较长,因此需要进一步研究标准化定义.
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