Evolution of the stone treatment over 30 years in a French academic institution
Evolution of the stone treatment over 30 years in a French academic institution
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DOI：
10.1016/j.purol.2015.05.002
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发表时间：
2015-07-01
影响因子：
1.1
通讯作者：
Traxer, O.
中科院分区：
文献类型：
--
作者：
Doizi, S.;Raynal, G.;Traxer, O.
客观的。 - 评估每年手术次数和尿石症手术治疗的演变。方法。 - 1985 年至 2014 年间，法国一家学术机构进行了一项回顾性单中心研究。研究人群分为四组：体外冲击波碎石术（SWL）、输尿管软镜和硬镜镜检查（URS）、经皮肾镜取石术（PCNL）和开放手术。通过手术记录确定每年的手术次数以及每种技术的分布。结果。 - 在此期间总共进行了 23,162 例手术。每年的手术量从1985年的410例增加到2014年的1071例，增长了161%。 1985 年，SWL 占所有手术的 85.6% (351/410)，2014 年占 21.3% (228/1071)。相比之下，1985年URS占所有手术的4.4%（18/410），2014年上升至76%（814/1071）。2007年URS数量已达到SWL，随后成为主要的手术治疗方法。研究期间PCNL的数量保持稳定，但由于活动增加，其比例有所下降，1985年为7.1%（29/410），2014年为2.6%（28/1071）。开放手术很少进行，目前为0.1%。结论。 - 30 年来，尿石症手术数量增加了一倍多。直到 2007 年，SWL 仍是主要治疗方法，其数量有所减少，而输尿管镜检查目前是我们机构最常见的结石治疗方法，PCNL 保持稳定。 (C) 2015 Elsevier Masson SAS。版权所有。
Objective. - To assess the evolution of the annual number of surgical procedures and the surgical management for urolithiasis.Methods. - A retrospective monocentric study was conducted between 1985 and 2014 in a French academic institution. The study population was divided into four groups: extracorporeal shock wave lithotripsy (SWL), flexible and rigid ureteroscopy (URS), percutaneous nephrolithotomy (PCNL) and open surgery. The annual number of surgical procedures as well as the distribution of each technique was determinated by using the operating records.Results. - In all, 23,162 procedures were performed during this period. The annual number of procedures rose from 410 in 1985 to 1071 in 2014, representing a rise of 161%. SWL represented 85.6% (351/410) of all surgeries in 1985 then 21.3% in 2014 (228/1071). In contrast, URS accounted for 4.4% (18/410) of all surgeries in 1985 and rose to 76% (814/1071) in 2014. The number of URS has reached the SWL in 2007 and then became the main surgical treatment. The number of PCNL remained stable during the study period but its proportion decreased due to the increased activity, representing 7.1% (29/410) in 1985 and 2.6% (28/1071) in 2014. Open surgery is rarely practiced and represents currently 0.1%.Conclusion. - The number of surgical procedures for urolithiasis has more than doubled in 30 years. SWL represented the main treatment until 2007 and its number decreased whereas ureteroscopy represents now the most common stone treatment in our institution, PCNL remaining stable. (C) 2015 Elsevier Masson SAS. All rights reserved.