影响跨尿道双J支架切除在移植患者的难度的因素
Elisabeth R Seyferth1, Gregory J Nadolski1, Jeffrey I Mondschein1
1Division of Interventional Radiology, Department of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, United States of America.
Diagnostic and interventional radiology (Ankara, Turkey)
|November 12, 2025
概括
通过尿道切除双J支架的成功率很高. 复杂的陷可能会减少程序时间,而简单的陷和循环导线可能会增加它,从而影响整体难度.
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) 是一種醫學專業.
- 手术技术 手术技术
背景情况:
- 在移植手术后,通过尿道放置双J (JJ) 支架是常见的.
- 切除支架有时可能具有挑战性,需要对影响程序难度的因素进行评估.
- 光镜时间作为一个可靠的替代品来评估JJ跨尿道支架切除的难度.
研究的目的:
- 确定影响跨尿道JJ支架切除难度的关键因素.
- 分析各种移除装置对程序时间和复杂性的影响.
- 为了优化技术,以有效地获取JJ支架.
主要方法:
- 追溯分析996个通过尿道的JJ支架移除程序 (2016年1月至2023年11月).
- 对光镜时间的预测因素的调查,包括患者人口统计,支架特征和移除设备.
- 多变量建模以评估器件类型与光镜时间之间的关联.
主要成果:
- 切除支架的技术成功率为99.2%,平均光镜时间为4.9分钟.
- 复杂的陷与光镜时间的减少有关 (0.78分钟减少),而简单的陷 (1.87分钟增加) 和循环导线 (0.86分钟增加) 增加了它.
- 不良事件很少发生 (0.5%),严重程度轻度至中度.
结论:
- 通过尿道取出JJ支架是一种成功的程序,通常可以用单个设备实现.
- 移除装置的选择显著影响程序难度,复杂的陷可能会提高效率.
- 光学引导的检索是一种有效的替代方案,用于囊镜去除,与设备选择优化结果.
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