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三角镜JJ支架不会比管状支架引起更多的不适:随机对照试验的比较
Lin Zhang1, Yanyuan Wu1, Yuangui Chen2
1Department of Urology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University, School of Medicine, 1665 Kongjiang Rd. Yangpu District, Shanghai, 200092, China.
World journal of urology
|February 3, 2024
概括
康伊博 (KYB) 抗反流JJ支架在尿路结石治疗后会导致更多的尿路症状. 乌罗视觉Visiostar支架显示了与传统库克支架相似的症状得分.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
- 患者的治疗结果.
背景情况:
- 尿路JJ支架通常在灵活的尿路透镜光三术 (FURL) 后使用.
- 支架相关症状 (SRS) 可以影响患者的生活质量.
- 不同的支架设计可能会影响SRS的发生和严重程度.
研究的目的:
- 为了比较FURL后三种常见的尿道JJ支架的支架相关症状 (SRS).
- 调查JJ支架的结构差异是否影响SRS.
- 用尿道支架症状问卷 (USSQ) 评估患者报告的结果.
主要方法:
- 前性,随机,受控,单盲,并行组研究.
- 146名接受FURL治疗的患者被随机分为三个组:Cook (对照组),Kang Yi Bo (KYB) 和Urovision.
- USSQ在支架插入后的1周,4周和5周内进行.
主要成果:
- 与Cook和Urovision组相比,KYB组在1周和4周报告了明显更高的尿路症状.
- KYB组显示较低的P6&7分数,但尿道症状较高.
- 乌罗视频小组在大多数领域的症状得分与库克小组相似.
结论:
- 虽然KYB抗反流JJ支架有可能预防膀外流,但却显著增加了尿路症状.
- 乌罗视觉Visiostar支架,尽管其独特的形状,没有导致尿路症状或疼痛增加与传统支架相比.
- 支架的设计和结构在FURL后患者报告的支架相关症状中发挥着作用.
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