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无支架尿道镜患者的临床和术后特征:ReSKU的前性分析
Fadl Hamouche1, Rei Unno1, Nizar Hakam1
1Department of Urology, University of California San Francisco, San Francisco, California, USA.
The Canadian journal of urology
|June 21, 2023
概括
在尿路透镜检查 (URS) 后,对于结石的尿路支架的省略可以减少毛细出血和下泌尿道症状 (LUTS). 这种方法对选定的患者是安全的,没有显示术后并发症的增加.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 尿道透视 (URS) 是治疗结石的常见手术.
- 尿道支架安置通常用于URS后,以防止阻塞和帮助愈合.
- 与尿道支架相关的潜在并发症和不适存在.
研究的目的:
- 评估未安置尿道支架的尿道透视术 (URS) 患者的临床特征和术后结果.
- 为了比较手术后的并发症和症状,在URS后的尿路支架和没有尿路支架的患者之间.
主要方法:
- 预期病例队列研究,使用来自结石和尿道结石登记册 (ReSKU) 的数据.
- 分析了470名接受尿路结石治疗的患者,比较了尿路支架安置和不安置的结果.
- 进行了单变量和多变量逻辑回归分析.
主要成果:
- 92名患者 (19.5%) 属于无支架组.
- 无支架的URS与较低的石头负担和较短的手术时间有关.
- 没有支架的患者报告的大型出血和下泌尿道症状 (LUTS) 较少.
- 两组之间整体术后并发症没有显著差异.
结论:
- 在精心挑选的患者中,在URS之后省略尿路支架的安置,可以减少术后出血和LUTS.
- 这种做法似乎不会增加术后并发症的风险.
- 仔细的患者选择是成功无支架URS的关键.
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