保留尿道支架对长期功能的影响
Christine Ibilibor1, Robert Grand1, Cy Daneshfar1
1Department of Urology, Texas Tech University Health Sciences Center, Lubbock, Texas.
Urology practice
|June 14, 2023
概括
保持尿路支架显著增加患慢性病 (CKD) 的风险. 迅速去除和患者遵守是预防尿路支架放置后长期脏损伤至关重要的.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械并发症 医疗器械并发症
背景情况:
- 关于与保留尿道支架相关的慢性病 (CKD) 发病率的数据有限.
- 保留尿路支架可能会导致严重的尿路感染和脏损伤.
研究的目的:
- 为了确定患有保留尿路支架的患者慢性病 (CKD) 的发病率.
- 为了比较留住支架的患者和对照组之间的CKD发病率.
主要方法:
- 尿道支架安置和移除记录的回顾性审查 (2003年1月 - 2016年10月).
- 确定了34名留住支架的患者 (in situ>6个月) 和120名对照.
- 主要终点:CKD后支架移除率.
主要成果:
- 平均停留时间:13.7个月 (保留) 和32天 (对照).
- 保持支架的患者中有26.47%患有CKD,对照组中有3.33%患有CKD (OR 8.64,p=0.0009).
- 在保留的尿路支架和新发的CKD之间存在显著的关联.
结论:
- 保留的尿路支架是发展慢性病的重要危险因素.
- 强调患者咨询和遵守后续时间表的重要性.
- 积极主动管理对于减轻尿路支架手术后的脏并发症至关重要.
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