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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
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在患有持续良性尿道收缩的患者中,可检索覆盖的可扩展金属支架迁移的风险因素
Yuyu Xu1, Xiezhao Li1, Zhiduan Cai1
1Department of Urology, Key Laboratory of Biological Targeting Diagnosis, Therapy and Rehabilitation of Guangdong Higher Education Institutes, The Fifth Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, 510700, China.
World journal of urology
|April 30, 2024
概括
可回收覆盖的可扩展金属支架 (RCEMS) 迁移发生在19.5%的良性尿路收缩患者中. 距离狭窄的位置和气球扩张是关键的风险因素,有助于预测迁移.
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
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 良性尿路收缩是一个重大的临床挑战.
- 可回收覆盖的可扩展金属支架 (RCEMS) 用于治疗.
- 支架迁移是一种已知的影响治疗结果的并发症.
研究的目的:
- 为了确定患有良性尿路收缩的患者中RCEMS迁移的发生率.
- 识别与RCEMS迁移相关的风险因素.
- 对迁移的支架进行救援管理策略的评估.
主要方法:
- 对接受RCEMS植入的117名患者的回顾性分析.
- 单变量和多变量分析以确定迁移的预后因素.
- 分析的因素包括狭窄的位置,长度,水化-皮质比率和支架直径.
主要成果:
- 在19.5% (22/113) 的患者中发生了支架迁移.
- 迁移的预后因素包括远端尿路收缩,气球扩张,水-皮质比≥10,更大的支架直径和更短的收缩长度.
- 平均肌素显示显著改善 (p=0.038).
- 在4名患者中需要进行救助管理,18名患者在观察时有所改善.
结论:
- 特定的预后因素增加了RCEMS迁移的可能性.
- 开发了一种预测性诺姆图,以评估RCEMS治疗的尿路收缩患者的迁移风险.
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