对良性疾病的共振支架安置后的功能和支架耐用性的评估
Rohit Bhatt1, Kelvin Vo1, Andrei D Cumpanas1
1Department of Urology, University of California, Irvine, Orange, California, USA.
Journal of endourology
|July 26, 2023
概括
基于金属的共振支架 (RS) 在良性尿路阻塞 (BUO) 中有效保持功能和体积. 虽然具有成本效益,但只有28%的患者实现了所需的1年内置时间.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 医疗器械 医疗器械
背景情况:
- 基于金属的共振支架 (RS) 通常用于恶性尿路阻塞.
- 在良性尿道阻塞 (BUO) 中RS的长期结果尚未得到充分确立.
研究的目的:
- 评估RS在BUO患者的长期效用和影响.
- 与聚合物支架相比,评估RS的功能,支架耐用性和成本效益.
主要方法:
- 在2010年至2020年期间接受RS的43名BUO患者的回顾性审查.
- 通过eGFR,furosemide脏扫描和CT帕伦基马体积评估功能.
- 记录了支架交换,层,停留时间,并进行了成本分析.
主要成果:
- 在平均26个月的随访期间,EGFR,对体积或功能分裂没有显著变化.
- 平均RS入院时间为9.7个月;26%需要提前移除/更换.
- 32%的患者出现了支架层;RS安置提供了相对于频繁的聚合物支架更换而显著的成本降低.
结论:
- 在BUO患者中对共振支架的安置是具有成本效益的,并保持功能和体积.
- 然而,很大一部分患者出现过早支架问题,只有28%的患者符合1年内置时间标准.
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