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尿道支架的最佳停留时间在无法穿越的尿道显微镜后被动扩张
Ali Kaan Yildiz1, Arif Bayraktar2, Turgay Kacan1
1Department of Urology, Ankara City Hospital, Ankara, Turkey.
Urologia internationalis
|July 16, 2023
概括
尿道支架的停留时间影响结石治疗的成功和并发症. 在2到5周之间进行尿路透镜检查可以优化无石头率,同时最大限度地减少并发症.
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) 是一種醫學專業.
背景情况:
- 尿道支架在困难的尿路透镜后用于被动扩张.
- 尿道支架的最佳停留时间尚未确立.
- 这项研究调查了尿道支架停留时间和治疗结果之间的相关性.
研究的目的:
- 为了确定尿路支架停留时间和无法通过尿路透镜后的成功率之间的关系.
- 确定影响无石头状态和外科手术后并发症的因素.
- 提供基于证据的关于支架住院时间的建议.
主要方法:
- 追溯分析161名患者进行尿路支架安置后无法穿越的尿路透镜.
- 数据收集包括人口统计,临床,术前和术后变量.
- 后勤回归分析确定了无石头状态和并发症的预测因素.
主要成果:
- 在68.3%的患者中,实现了无石头状态.
- 支架停留时间和S-ReSC得分预测了无石头状态.
- 支架停留时间和操作时间预测了术后并发症.
- 经过2周的停留时间,无石头率显著增加.
- 经过5周的停留时间后,外科手术期间的并发症显著增加.
结论:
- 尿道支架的停留时间是尿道镜检查结果的关键因素.
- 理想情况下,尿路透镜应在支架后2至5周之间进行.
- 需要仔细考虑住宿时间,以优化成功并尽量减少并发症.
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