相关实验视频
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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
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抗坏血酸补充剂在减少双J尿道支架内的有效性. 一个多中心的观点
Adel Elatreisy1, Ahmed Alrefaey1, Osama Shalkamy1
1Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo.
概括
阿斯科布酸补充剂显著减少了双 J 尿道支架皮. 缺乏这种补充剂,男性性别和更长的支架持续时间是皮形成的关键风险因素.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 医学化学 医学化学
背景情况:
- 双J (DJ) 尿道支架层是一种常见的并发症.
- 结层可以使得支架的去除变得困难,并导致不良事件.
研究的目的:
- 评估阿斯科布酸补充剂在预防DJ尿道支架的疗效.
- 为了确定与DJ支架层相关的风险因素.
主要方法:
- 一项多中心,非并发的队列研究,包括842名DJ尿道支架患者.
- 第一个组 (359名患者) 每天服用阿斯酸补充剂;第二组 (483名患者) 没有.
- 使用KUB分级系统评估了支架层.
主要成果:
- 在阿斯科布酸组中观察到支架的发生率明显较低 (2.5%与33.7%,p<0.001).
- 服用阿斯科布酸的患者中尿路感染的频率较低 (30%对57.8%,p=0.02).
- 缺少 Askorbic 酸,男性性别和延长的支架内置时间是对化的显著预测因素.
结论:
- 阿斯科布酸补充剂有效地减少双J尿道支架上的层.
- 识别和减轻风险因素,如男性性别和长时间的内置时间,对于预防支架层至关重要.
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