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尿道支架内置时间对层程度和提取难度的影响:一项回顾性研究
Laurian Stefan Maxim1,2, Ruxandra Maria Rotaru2, Camelia Cornelia Scarneciu1,2
1Emergency Clinical County Hospital Brasov, 500365 Brașov, Romania.
Journal of clinical medicine
|June 26, 2025
概括
长时间的尿路支架持续时间显著增加和变色,使移除复杂化. 及时切除支架和监测对于减轻与内置双J尿路支架相关的风险至关重要.
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:
- 尿道支架在泌尿病学中是必不可少的,但在长时间使用时可能导致并发症.
- 支架和变色是影响患者结果的常见问题.
- 了解停留时间和并发症之间的关系对于临床实践至关重要.
研究的目的:
- 评估尿路支架内置时间和支架层之间的相关性.
- 评估内置时间对支架变色和提取困难的影响.
- 分析患者并发症对支架相关并发症的影响.
主要方法:
- 对33名用聚氨双J尿道支架的患者进行了回顾性分析.
- 评估支架皮,变色,尿路感染 (UTI) 和提取困难.
- 使用SPSS 23.0 (p < 0.05显著性) 的住院时间,并发症和并发症的统计分析.
主要成果:
- 较长的内置时间 (45-90天和>90天) 与更高等级的支架层显著相关 (p = 0.008,p = 0.01).
- 黑色支架变色与特定的尿道感染 (大肠杆菌,克莱布西拉菌,肠球菌) 强烈相关,并延长了内置时间 (p < 0.001).
- 没有发现尿路感染和支架层的程度之间有显著的相关性.
结论:
- 停留时间是影响尿路支架和变色的关键因素.
- 关于支架管理和提取计划的临床决策应考虑内置时间.
- 及时切除支架和警监测是必要的,以尽量减少长期放置的并发症.
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