热扩展性阴道内尼醇支架用于治疗膀输出阻塞:一个连续的病例系列
Albert Arch1, Andreas Thamsborg2, Lilli Winck-Flyvholm1
1Department of Urology, Copenhagen University Hospital - Herlev & Gentofte Hospital, Gentofte, Denmark.
Scandinavian journal of urology
|October 4, 2024
概括
热扩展性尼醇前列腺支架为高风险患者提供了导管治疗的成功替代方案. 这项研究显示,成功率为71% ,并发症很少,改善了排泄功能.
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
- 最少侵入性的手术
背景情况:
- 前列腺支架可以缓解高风险患者的阻塞.
- 自2020年以来,热膨胀性前列腺内尼丁醇支架已被使用.
- 早期结果的记录对于评估这种治疗方法至关重要.
研究的目的:
- 为了记录可热扩展的前列腺内尼醇支架程序的结果.
- 评估这些支架的成功率和并发症概况.
- 评估他们的潜力,作为一种替代导管治疗的替代方案.
主要方法:
- 在2020年5月至2023年10月期间接受前列腺支架治疗的患者的综述.
- 记录患者的人口统计,手术细节,尿道症状和并发症.
- 描述性统计和强大的多重回归分析来评估结果和预测因素.
主要成果:
- 包括52名患者 (平均年龄82岁),并发病率高 (中位数CCI为6).
- 47名患者之前曾使用内置导管.
- 总体成功率为71% (37/52),其中87%的人在手术后自发无效. 发现了一个并发症 (感染). 没有发现成功或并发症的预测因素.
结论:
- 热扩展性前列腺内尼醇支架显示出高成功率和低并发症率.
- 这些支架可能是永久性或间歇性导管治疗的可行替代方案.
- 他们为那些不愿意或无法为下尿道症状接受手术的男性提供解决方案.
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