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被遗忘的尿路支架:对文献的系统审查
Xiaochuan Wang1, Zhengguo Ji1, Peiqian Yang1
1Department of Urology, Beijing Friendship Hospital, Capital Medical University, No. 95, Yongan Road, Xicheng District, Beijing, China.
BMC urology
|March 5, 2024
概括
被遗忘的尿路支架 (FUS) 是一个严重的并发症. 与患者相关的问题导致大多数FUS病例,导致疼痛,感染和昂贵的治疗. 通过教育和跟踪进行预防至关重要.
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.
- 医疗并发症 医疗并发症
背景情况:
- 被遗忘的尿路支架 (FUS) 是支架安置后的一个显著的晚期并发症.
- 本系统性审查涉及与FUS相关的多方面的问题和潜在的解决方案.
研究的目的:
- 系统地审查和总结遗忘尿管支架 (FUS) 的特征,并发症和管理策略.
- 为了确定FUS的主要原因和表现症状.
- 评估FUS移除各种治疗方法的有效性.
主要方法:
- 根据PRISMA声明进行了系统审查.
- 在PubMed和Embase数据库中进行搜索,截至2022年10月1日.
- 包括了将FUS定义为至少2个月留在现场的支架的研究.
主要成果:
- 分析了147项涉及1292名患者的研究,平均住院时间为33.5个月.
- 与患者相关的因素 (83.9%) 是FUS的主要原因,其次是尿病治疗 (79.2%).
- 常见的并发症包括皮层 (80.8%) 和尿道感染 (40.2%),侧侧疼痛和LUTS作为主要症状. 通常需要多次内镜手术才能去除.
结论:
- FUS对健康构成重大风险和经济负担,需要个性化治疗策略.
- 彻底的手术前评估和量身定制的管理对于尽量减少患者的发病率至关重要.
- 预防措施,包括加强健康教育和患者跟踪系统,对于减少FUS发病率至关重要.
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