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老年人群中迷你内镜联合内外科手术的结果:匹配对分析
Takahiko Watanabe1,2, Hiroki Ito1,2, Tetsuo Fukuda3
1Department of Urology, Yokosuka Kyosai Hospital, Yokosuka, Japan.
概括
迷你内镜联合内手术 (ECIRS) 对患有结石和尿路结石的老年患者来说是安全有效的. 与年轻患者相比,结果,包括无石头率和并发症,是相似的.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 老年医学 老年医学
背景情况:
- 脏和尿路结石对健康造成重大负担.
- 老年患者可能对手术干预有独特的考虑.
- 迷你内镜联合内手术 (迷你ECIRS) 是一种最少的侵入性方法.
研究的目的:
- 评估迷你ECIRS在患有和尿路结石的老年患者 (≥75岁) 的安全性和有效性.
- 为了比较接受迷你ECIRS的老年和年轻患者队列之间的结果.
主要方法:
- 来自三家日本机构的1303个单一会议迷你ECIRS案件 (2015-2021) 的回顾性分析.
- 患者被分为两组:≥75岁 (n=121) 和<75岁 (n=1182).
- 根据八个手术前和手术内因素对112名老年患者和112名非老年患者进行了匹配分析.
主要成果:
- 在经手术后住院时间方面,在匹配的老年患者和非老年患者之间没有发现显著差异.
- 两组的并发症率在两组之间是可比的.
- 在老年和非老年患者队列中,无石头率 (SFR) 在老年和非老年患者队列中相似.
结论:
- 这项多中心研究表明,迷你ECIRS是75岁及以上患者脏和尿路结石的安全有效治疗方法.
- 老年患者的外科治疗结果与年轻患者的外科治疗结果相似,挑战了以前关于年龄相关外科风险的假设.
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