Q4 Medicine
Çağlar Yildirim, Mehmet Yılmaz Salman, Mehmet Şirin Ertek, Goksel Bayar
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引用次数: 0

摘要

目的:我们的目的是评估因SARS-CoV-2大流行而延迟治疗的输尿管结石的结局。材料和方法:回顾性评估了2021年1月1日至31日大流行期间和2020年1月1日至31日大流行之前因输尿管结石行输尿管镜检查(URS)患者的数据。首次就诊时,评估患者的紧急引流需求、输尿管JJ支架需求、术后无结石率、再尿路需求以及Clavien-2级及以上并发症的存在。结果:本研究共纳入102例患者,其中大流行后38例,大流行前64例。大流行后组的阻生结石率(15.8%)明显高于大流行前组(3.1%)(p = 0.021)。第一组7例(18.4%),第二组2例(3.1%)需要紧急引流(p = 0.008)。此外,输尿管JJ支架需求在第一组(71%)显著高于第二组(29.7%)(p<0.001)。第一组患者的re-URS需求明显高于对照组(18.4% vs 4.7%, p = 0.024),术后出现2期及以上并发症的患者分别为1组10例(26.3%)和2组3例(4.7%)(p = 0.002)。结论:与SARS-CoV-2大流行相关的输尿管结石延迟治疗导致并发症增加,永久性发病率增加,治疗过程更加困难。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sars-Cov-2 Pandemisi Nedeniyle Geciktirilen Üreter Taşı Tedavisinin Klinik Sonuçları
Objective: Our aim was to assess the outcomes for ureter stones with delayed treatment due to the SARS-CoV-2 pandemic. Materials and Methods: Data from patients with ureterorenoscopy (URS) performed due to ureter stones were retrospectively assessed in the period during the pandemic of 1-31 January 2021 and the period before the pandemic of 1-31 January 2020. On first attendance, patients were assessed for emergency drainage requirements, ureter JJ stent requirement, post-op stone-free rate, re-URS requirements, and the presence of complications rated Clavien-2 and above. Results: The study included 102 patients in total, 38 after and 64 before the pandemic. The post-pandemic group had a significantly higher impacted stone rate (15.8%) compared to the pre-pandemic group (3.1%) (p = 0.021). Seven patients (18.4%) in the first group and two patients (3.1%) in the second required emergency drainage (p = 0.008). Further, ureteral JJ stent requirements were significantly higher in the first group (71%) than in the second group (29.7%) (p<0.001). The re-URS requirements in the first group were significantly higher (18.4% vs 4.7%, p = 0.024), and in the postoperative period, stage 2 and higher complications developed in 10 patients in the first group (26.3%) and 3 patients in the second (4.7%) (p = 0.002). Conclusion: Ureter stones with delayed treatment linked to the SARS-CoV-2 pandemic caused increased complications, permanent morbidity, and more difficult treatment processes.
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来源期刊
Duzce Medical Journal
Duzce Medical Journal Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
59
审稿时长
12 weeks
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