[尿路上部にステントを挿入した後の陽性前立腺増殖患者の症状と治療法]
Wei Liu1, Hui Zhang1, Shuang-Ning Liu1
1Department of Urology, Baoji People's Hospital Affiliated to Yan'an University, Baoji, Shaanxi 721000, China.
Zhonghua nan ke xue = National journal of andrology
|September 5, 2025
まとめ
尿路上の結石および良性前立腺増殖 (BPH) の患者では,尿路ステントの早期除去は安全かつ有効です. ステントの長さは 合併症と症状のスコアを高めます
科学分野:
- 泌尿器科
- 腎臓科
- 外科 革新
背景:
- 尿路上の結石と良性前立腺増殖 (BPH) は男性患者で頻繁に共存する.
- 尿路上の結石の管理に用いるのが一般的ですが,BPHの症状を悪化させることもあります.
- BPH患者における尿路ステント除去の最適なタイミングについては,さらなる調査が必要である.
研究 の 目的:
- 尿路上の結石を有するBPH患者における症状と合併症に対する尿路ステントの持続時間の影響を分析する.
- 早期 (2週間) と遅延 (4週間) の尿路ステント除去の結果を比較する.
主な方法:
- 尿路上の結石を患ったBPH患者106人を対象に実施した遡及研究.
- 患者は手術後2週間または4週間でステントの除去に基づいて2つのグループに分けられました.
- 評価された国際前立腺症状スケール (IPSS),尿路ステント症状アンケート (USSQ),および有害事象.
主要な成果:
- 両群とも排尿後の尿路症状の有意な改善を示した (P<0. 05).
- 2週間のグループと比較して,4週間の除去グループは,著しく高いUSSQスコアを示した (P<0. 05).
- 早期 (2週間の) 除去グループでは,有意な有害事象は観察されなかった.
結論:
- 尿路ステントの挿入は,BPHの患者でIPSSとUSSQのスコアを大幅に高めます.
- 合併症と症状の重さは ステントの長時間使用により悪化します
- 尿路上の小石を患っているBPH患者の選択において,早期の尿路ステント除去 (2週間) は安全で効果的な戦略です.
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