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从生物膜到纤维化:输尿管支架相关病理微环境及其表面功能化研究的最新进展
Yiru Wang1,2, Qing Yang3, Yizhe Lv4
1College of Medical Imaging, Shanxi Medical University, Taiyuan, China.
Frontiers in bioengineering and biotechnology
|October 13, 2026
Abstract:
在泌尿外科领域,输尿管支架是常见的可植入医疗器械。然而,其长期留置常伴随多种并发症,包括生物膜感染、结垢、慢性炎症以及输尿管纤维化,严重影响患者生活质量并降低临床疗效。越来越多的证据表明,这些问题的发生与发展并非孤立事件,而是多种因素共同作用下支架病理微环境失衡的结果。因此,对支架微环境进行精准调控已成为新一代输尿管支架设计中的研究热点。本研究系统探讨了输尿管支架置入后导致病理状态形成的机制,重点分析与支架相关并发症有关的相互作用及调控机制。综述了近年来在功能化表面改性方面的策略,包括抗结垢、抗菌、抗炎及抗纤维化方法,并讨论了各类新型涂层与功能材料的作用机制及研究进展。同时,基于现有临床研究信息,客观分析了功能化输尿管支架在临床转化过程中所面临的技术与应用障碍。 关键词:输尿管支架,病理微环境,生物膜感染,结垢,慢性炎症,纤维化,表面改性,功能涂层,临床转化
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