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长期尿道支架的双支架:来自多中心PEARLS分析的结果
Mariela Corrales1,2, Etienne Xavier Keller1,3, Yazeed Barghouthy1,4
1Progressive Endourological Association for Research and Leading Solutions (PEARLS), Paris, France.
World journal of urology
|May 12, 2025
概括
长期使用双J支架对于尿路支架是有效的,在12个月后成功率为69%. 患者体重高,尿路白细胞和尿路感染预示着支架失败.
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.
背景情况:
- 尿道支架对于管理尿道阻塞至关重要.
- 双J支架通常用于长时间的尿路排水.
- 了解长期结果和失败预测因素对于患者管理至关重要.
研究的目的:
- 为了评估长期尿路支架使用双J支架的结果.
- 为了确定最大有效的停留时间,并确定影响支架失败的因素.
主要方法:
- 对105名计划停留时间至少为3个月的患者进行了回顾性分析.
- 包括在2018年至2024年期间使用ImaJinTM或ImaJin HydroTM支架治疗的患者.
- 主要终点:支架失败,定义为未计划的过早重新干预.
主要成果:
- 在12个月内,无支架故障的存活率为69%.
- 支架失败的重要预测因素包括患者体重增加,尿白细胞升高和尿路感染 (UTI).
- 观察到自发支架迁移率低 (<1%) 和结率低 (12%),在5例病例中,在365天后晚期结.
结论:
- 双J支架为长期的尿路支架提供了一种有效和安全的选择.
- 建议在患有诸如高体重,高尿白细胞或尿路感染等危险因素的患者中密切监测支架衰竭.
- 这项研究强调了长期尿路支架的定制后续策略的需要.
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