在恶性尿路阻塞中,金属和聚合物尿路支架之间的临床结果的比较:一项回顾性比较研究
Tomohiro Nishi1, Ryuto Nakazawa2, Yuki Morimoto1
1Department of Urology, St Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, 216-8511, Japan.
BMC urology
|January 31, 2026
概括
金属尿路支架 (MS) 与聚合物尿路支架 (PS) 相比,在恶性尿路阻塞 (MUO) 方面提供更高的穿透率. 多发性硬化是一种安全有效的选择,特别是对于腹传播的患者.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医疗器械 医疗器械
背景情况:
- 恶性尿路阻塞 (MUO) 在患者管理中带来了重大挑战.
- 对比金属尿路支架 (MS) 和聚合物尿路支架 (PS) 对于优化治疗结果至关重要.
研究的目的:
- 为了比较MUO患者的MS与PS的临床结果和症状.
- 评估支架穿透率和与两种支架类型阻塞相关的因素.
主要方法:
- 对148名患有MUO的MS或PS治疗的患者 (240名尿道) 的回顾性分析.
- 在MS和PS组之间比较手术时间,整体存活率和支架通透率.
- 在每个组中分析导致支架阻塞的因素.
主要成果:
- 对于MUO患者来说,一年的整体存活率为27.2%.
- 金属支架显示了一年内显著更高的专利率 (62.0%) 比聚合物支架 (48.5%).
- 虽然MS的手术时间较长,但通透性更好,特别是在腹传播的患者中.
结论:
- 金属尿路支架是一种安全有效的MUO治疗方法.
- 与PS相比,MS的穿透率优于PS.
- 多发性硬化对患有腹传播的MUO患者尤其有益.
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