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Saurabh Kumar¹, Amit Jain¹, Sameer Vyas¹

¹Department of Urology, Gandhi Medical College, Bhopal, IND.

|July 11, 2025

概括

内镜双J (DJ) 支架在早期和小小的诊断时对尿路阴道 (UVF) 有效. 推迟诊断和并发症等因素降低了成功率,强调了需要仔细选择患者的必要性.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
最少侵入性的手术
医疗器械技术医疗器械技术

背景情况:

尿道囊 (UVF) 通常是妇科,泌尿或结直肠手术的结果,由于尿泄漏,功能衰竭和感染,严重影响患者的生活质量.
最少侵入性内镜双J (DJ) 支架越来越多地用于UVF治疗.
关于DJ支架对管大小,诊断及时性和患者并发症的影响的研究有限.

研究的目的:

为了评估内镜DJ支架植入在治疗尿路阴道的疗效.
分析状管的大小,诊断时间和患者的并发病对治疗结果的影响.
确定在接受DJ支架的UVF患者治疗成功和失败的预测因素.

主要方法:

一项为期五年的回顾性研究 (2019-2024) 涉及31名在印度博帕尔接受内镜DJ支架治疗的UVF患者.
分析患者人口统计,临床表现,状的特征,治疗结果和并发症.
使用千平方测试和后勤回归来评估风险因素 (p<0.05) 的统计分析.

主要成果:

在 DJ stenting 中,成功率达到 77.4% (24/31).
早期诊断 (<4周) 和较小的状管 (<5毫米) (p=0.038,p=0.032) 的成功率较高.
晚期诊断,较大的囊,糖尿病和肌水平升高是治疗失败的独立预测因素. 轻微的并发症包括失尿和出血症; 一名患者因遗忘的支架而需要手术.

结论:

内镜DJ支架对于早期检测到的轻微UVF是有效的.
功能衰竭,糖尿病,更大的囊和延迟诊断与治疗成功的减少有关.
早期预后评估和适当的患者选择对于优化结果和最大限度地减少手术干预至关重要.

关键词:

dj 支架支架支架进行内镜管理.最少侵入性的侵袭性疾病.泌尿器支架是一种尿管支架.尿路和阴道.

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