Effectiveness and Safety of Ureteroscopic Lithotripsy in Young, Old-Old, Oldest-Old Patients.
Effectiveness and Safety of Ureteroscopic Lithotripsy in Young, Old-Old, Oldest-Old Patients.
复制标题
输尿管镜碎石术在年轻、老年、高龄患者中的有效性和安全性。
DOI：
10.1089/end.2021.0565
复制
发表时间：
2021
影响因子：
2.7
通讯作者：
T. Matsuda
中科院分区：
文献类型：
--
作者：
M. Taguchi;H. Kinoshita;Natsuki Anada;Kankeki Yasuda;O. Ueno;T. Matsuda
目标
探讨输尿管镜碎石术在青年、老年和高龄患者中的有效性和安全性。
方法
我们招募了157名接受输尿管镜碎石术的患者。我们将患者分为年轻组（< 65岁）、老年组（65-84岁）和高龄组（≥ 85岁），并分别比较年轻组与老年组和年轻组与高龄组之间手术的安全性。
结果
< 65岁组、65-85岁组和≥ 85岁组的平均结石直径分别为8.9 ± 4.9 mm、10.8 ± 7.7 mm和11.4 ± 6.3 mm，平均手术时间分别为76.6 ± 33.1 min、86.7 ± 44.7 min和84.0 ± 44.5 min;结石清除率分别为95.9%、94.4%、96.3%，并发症发生率分别为8.2%、9.8%、3.7%。
结论
在这项研究中，我们显示了输尿管镜碎石术对老年人的可行性和安全性。特别是，尽管高龄（≥ 85岁）患者有多种合并症，且体力状态较低，但仍可以进行输尿管镜碎石术，并发症发生率可接受。
OBJECTIVES
To investigate the efficacy and safety of ureteroscopic lithotripsy in young, old-old, and oldest-old patients.
METHODS
We enrolled 157 patients who underwent ureteroscopic lithotripsy. We divided the patients into young (< 65 years), old-old (65-84 years), and oldest-old (≥ 85 years) groups and compared the safety of surgery between young vs old-old and young vs oldest-old, separately.
RESULTS
In the < 65 group, 65-85 group, and ≥ 85 group, respectively, the mean stone diameter was 8.9 ± 4.9 mm, 10.8 ± 7.7 mm, and 11.4 ± 6.3 mm; mean operative time was 76.6 ± 33.1 min, 86.7 ± 44.7 min, and 84.0 ± 44.5 min; the stone-free rate was 95.9%, 94.4%, and 96.3%; and the complication rate was 8.2%, 9.8%, and 3.7%.
CONCLUSIONS
In this study, we showed the feasibility and safety of ureteroscopic lithotripsy for elderly people. In particular, although oldest-old (≥ 85 years) people had multiple comorbidities with low performance status, ureteroscopic lithotripsy could be performed with acceptable complication rates.