斑马镜处理超高龄患者肾和输尿管上段结石的可行性

Feasibility of using zebrascope to treat renal and upper ureteral stones in super-elderly patients

摘要:

目的 探讨国产一次性输尿管软镜（斑马镜）处理超高龄患者肾和/或输尿管上段结石的可行性。方法 回顾性分析2022年5月－2025年1月95例于该院使用斑马镜处理的肾和/或输尿管上段结石的患者的临床资料，根据患者年龄分为对照组（40例）、老年组（31例）和超高龄组（24例）。比较3组患者手术时间、住院时间、结石清除率、再手术率和术后并发症发生率（发热、血尿、腰痛和石街形成）。结果 3组患者手术时间、再手术率、发热、血尿和石街形成发生率比较，差异均无统计学意义（P > 0.05）。老年组住院时间较对照组和超高龄组长，差异有统计学意义（P < 0.05）；对照组和老年组结石清除率高于超高龄组，差异有统计学意义（P < 0.05）；老年组腰痛发生率较对照组低，差异有统计学意义（P < 0.0167）。结论 在准备充分的前提下，斑马镜碎石术治疗超高龄患者肾和/或输尿管上段结石是安全、有效的，具有一定的推广价值。

Abstract:

Objective To evaluate the feasibility of domestic disposable flexible ureteroscope-zebra for the treatment of renal and/or upper ureteral stones in ultra-elderly patients.Methods A retrospective analysis was conducted on the clinical data of 95 patients with renal and/or upper ureteral stones treated with zebra endoscopy from May 2022 to January 2025, and divided into the control group (40 cases), the elderly group (31 cases), and the super elderly group (24 cases) according to the age of the patients. The operation time, hospital stay, stone clearance rate, reoperation rate and the incidence of postoperative complications (fever, hematuria, lumbago and steinstrasse) of the three groups of patients were compared.Results There were no significant differences in operation time, reoperation rate, fever rate, hematuria rate, and/or steinstrasse rate among the three groups (P > 0.05). The hospitalization time of the elderly group was longer than that of the control group and the super elderly group, and the difference was statistically significant (P < 0.05); the stone clearance rate of the control group and the elderly group was higher than that of the super elderly group, and the difference was statistically significant (P < 0.05); The incidence of lumbago in the elderly group was lower than that in the control group, and the difference was statistically significant (P < 0.0167).Conclusion Under the premise of thorough preparation, zebra lithotripsy is safe and effective for treating renal and upper ureteral stones in ultra-elderly patients, and it has certain promotion value.