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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
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尿道支架近端的卷曲是否会影响支架相关的症状?
Arman Tsaturyan1,2, Etienne Xavier Keller3,4, Tarik Emre Sener3,5
1Department of Urology, Erebouni Medical Center, Yerevan, 0087, Armenia. tsaturyanarman@yahoo.com.
World journal of urology
|December 6, 2024
概括
卷尿管支架的近端显著减少支架相关的症状,包括侧翼和膀疼痛,频率和紧迫性. 带有卷状支架的患者在尿路支架后从这些症状中恢复得更快.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 患者的治疗结果.
背景情况:
- 尿道支架通常在诸如灵活逆行性内外科手术 (RIRS) 等手术前使用.
- 与支架相关的症状 (SRS) 可能会对患者的舒适性和恢复产生负面影响.
- 尿道支架的近端卷轴是一种可能影响SRS的修改.
研究的目的:
- 为了研究尿路支架的近端线圈对支架相关症状的影响.
- 为了比较RIRS之前的卷状尿道支架和没有卷状尿道支架的患者的症状严重程度和康复时间.
主要方法:
- 进行了一项前性比较研究,其中81名患者在RIRS之前接受了尿路支架.
- 患者被分为两组:第一组与近端支架线圈,第二组没有.
- 与支架相关的症状 (膀疼痛,侧侧疼痛,出血,紧迫性,频率,夜尿,冲动性失禁) 使用视觉模拟得分 (VAS) 进行评估.
主要成果:
- 没有近端卷积的患者 (2组) 报告了明显更严重的侧侧疼痛 (43.2%与22.7%) 和膀疼痛 (48.4%与25.0%).
- 第二组也经历了增加的止痛药使用 (64.9%对34.1%),频率 (p=0.012),和紧迫性 (p=0.033).
- 带有卷状支架 (1组) 的患者在支架插入后的第4天和第5天之间,从症状中恢复率更高 (52.3%对29.7%).
结论:
- 尿道支架的近端卷积显著影响支架相关的症状.
- 卷轴导致治疗后治疗频率,紧急性,膀疼痛和侧侧疼痛的改善结果.
- 带有卷状尿路支架的患者报告说,他们从支架相关症状中恢复得更快.
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