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两阶段尿路透镜检查后的支架相关症状:支架的结果
Daniel Garrett Wong1, Jonathan D Harper2, Naim M Maalouf3
1Division of Urology, Department of Surgery, Washington University in St. Louis, St. Louis, MO.
Urology
|November 14, 2025
概括
与第一阶段相比,尿路结石的第二阶段尿路透镜似乎提供了较低的疼痛强度和改善的尿路症状. 这一发现对于接受分阶段尿路支架手术的患者的咨询有价值.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 医疗器械 医疗器械
背景情况:
- 尿道支架的放置是常见的,在尿路石头的尿道透视 (URS) 后.
- 支架相关症状 (SAS) 可以影响患者的生活质量.
- 复杂的石头病例有时需要分阶段的URS程序.
研究的目的:
- 为了比较患者报告的支架相关症状 (SAS) 在第一阶段和第二阶段单侧尿路透镜 (URS) 后.
- 为了评估疼痛强度和尿路症状后分阶段与单阶段的尿路结石URS.
主要方法:
- 在STENTS研究中,参与者接受了单边的尿路静脉注射,并放置尿路支架.
- 患者报告的结果措施评估了SAS,疼痛强度和尿路症状.
- 一个倾向分数匹配的队列将单阶段的URS与两阶段程序进行了比较.
主要成果:
- 与第一阶段相比,在第二阶段URS后,术后疼痛较低.
- 在匹配的队列中,双阶段组的术后第3天和第5天的疼痛得分较低.
- 在第二次手术后的术后第一天和第三天,尿路症状有所改善.
结论:
- 与第一阶段相比,第二阶段的URS可能会导致疼痛强度降低和尿路症状改善.
- 尽管手术时间较长,但分阶段的手术对患者有潜在的好处.
- 这些发现可以帮助患者咨询分阶段的尿路结石治疗.
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