Militaru Adrian, Bulai Catalin Andrei, Multescu Razvan Dragos, Ene Cosmin Victor, Ene Mihai Andrei, Mares Cristian, Balacescu Stefan, Georgescu Dragos Adrian, Geavlete Petrisor Aurelian, Geavlete Bogdan Florin
"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Department of Urology, "Saint John" Clinical Emergency Hospital, Bucharest, Romania.
Maedica (Bucur). 2025 Jun;20(2):243-249. doi: 10.26574/maedica.2025.20.2.243.
This study evaluated changes in renal stone management during the COVID-19 pandemic in a single center, focusing on treatment methods, patient outcomes and healthcare delivery models.
We conducted a retrospective analysis comparing patients treated for kidney stones between July-September 2019 (pre-pandemic period) and July-September 2020 (pandemic period). We assessed the number of treated patients, treatment modalities and postoperative outcomes.
A total of 77 inpatients were analyzed, of whom 50 had been admitted to hospital during the pre-pandemic period and 27 during the pandemic, which represented a 46% decrease in hospitalizations. There were no significant differences in body mass index, average age, stone laterality, size, or location. Serum creatinine levels and positive urine cultures were also comparable between the groups. A trend toward more minimally invasive procedures was observed during the pandemic, with an increased use of flexible ureteroscopy (62% vs . 70.4%) and a decrease in percutaneous nephrolithotomy (12% vs . 7.4%). Operative times and hospital stays were similar across groups. However, the stone-free rate significantly decreased during the pandemic (91.1% vs . 84.07%).
The COVID-19 pandemic significantly disrupted renal stone management, leading to a preference for minimally invasive surgery but a lower stone-free rate.
本研究评估了单一中心在新冠疫情期间肾结石治疗的变化，重点关注治疗方法、患者预后和医疗服务提供模式。
我们进行了一项回顾性分析，比较了2019年7月至9月（疫情前时期）和2020年7月至9月（疫情时期）接受肾结石治疗的患者。我们评估了治疗患者的数量、治疗方式和术后结果。
共分析了77例住院患者，其中50例在疫情前时期入院，27例在疫情期间入院，住院人数减少了46%。体重指数、平均年龄、结石侧别、大小或位置无显著差异。两组间血清肌酐水平和尿培养阳性结果也具有可比性。疫情期间观察到更多采用微创手术的趋势，输尿管软镜使用率增加（62%对70.4%），经皮肾镜取石术使用率降低（12%对7.4%）。各组的手术时间和住院时间相似。然而，疫情期间结石清除率显著降低（91.1%对84.07%）。
新冠疫情严重扰乱了肾结石的治疗，导致倾向于微创手术，但结石清除率较低。
