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自动扩展的金属尿道支架用于复杂的尿道狭窄症:在高等机构的长期结果
Marina Mata1, Inés María Laso-García1, Javier Lorca-Álvaro1
1Department of Urology, Ramón y Cajal University Hospital, Alcalá University, IRYCIS, Madrid, Spain.
Urologia internationalis
|January 5, 2025
概括
自动扩展性尿道支架为耐火性尿道狭窄症提供了皮肤通术 (PCN) 的可行替代方案,改善了患者的生活质量.
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:
- 耐火性尿管狭窄是一种临床挑战,通常需要侵入性手术.
- 自动扩展性尿路支架正在成为皮革瘤切除术 (PCN) 的不那么侵入性替代品.
研究的目的:
- 分析耐火性尿管狭窄症患者的自扩展性尿管支架的结果和并发症.
- 评估这些支架的有效性和安全性,作为PCN的替代品.
主要方法:
- 在1996年至2022年期间接受了OptiMed®可扩展尿道支架的58名患者的回顾性评估.
- 用克拉维恩 - 丁多系统对并发症进行分类.
- 使用卡普兰-梅尔曲线和考克斯回归分析评估了支架穿透性.
主要成果:
- 最常见的症状是恶性瘤 (53.6%),最常见的是远端尿管狭窄 (63.8%).
- 48.3%的患者的肌素水平有所改善;尿路感染是最常见的急性并发症 (3.4%).
- 20名患者出现了支架阻塞,使用双J支架或PCN进行管理;支架平均存活时间为50个月.
结论:
- 自动扩展性尿路支架为患有耐火性尿路狭窄症的脆弱患者提供了PCN的宝贵替代品.
- 这些支架可以改善患有复杂尿管狭窄症的患者的生活质量.
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