首页|改良单J鱼尾输尿管支架在孕中晚期合并输尿管结石患者中的应用

改良单J鱼尾输尿管支架在孕中晚期合并输尿管结石患者中的应用

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目的 探讨改良单J鱼尾输尿管支架在孕中晚期合并输尿管结石患者中的应用效果。方法 选择2019年8月至2022年8月孕中晚期输尿管结石患者32例,随机分为2组,观察组(16例)在输尿管支架置入术中应用改良单J鱼尾输尿管支架,对照组(16例)在输尿管置入术中使用常规双J输尿管支架,所有患者在输尿管支架置入前、术后2周分别完成输尿管支架症状问卷评分表(USSQ),比较两组患者的临床资料和手术结局。结果 两组患者在年龄、发病孕周、术前BMI、术前白细胞、尿培养及结石位置、结石大小、术后相关并发症等方面比较差异无统计学意义(P>0。05)。输尿管支架置入后2周,观察组USSQ评分比对照组明显降低(P<0。05)。结论 孕中晚期合并输尿管结石的患者行局麻下改良支架管置入术是安全有效的,与常规双J输尿管支架比较,应用改良单J鱼尾支架管可降低输尿管支架相关症状,尤其是尿路症状。
Objective To explore the application effect of improved single J fishtail ureteral stent in patients with ureteral stones in mid to late pregnancy.Methods 32 patients with mid to late-stage ureteral stones during pregnancy from August 2019 to August 2022 were selected and randomly divided into two groups.The observation group(16 cases)used an improved single J fishtail ureteral stent during ureteral stent placement surgery,while the control group(16 cases)used a conventional double J ureteral stent during ureteral stent placement surgery.All patients completed the ureteral stent symptom questionnaire(USSQ)before and 2 weeks after ureteral stent placement,and the clinical data and surgical outcomes of the two groups of patients were compared.Results There was no statistically significant difference between the two groups of patients in terms of age,gestational age,preoperative BMI,preoperative white blood cells,urine culture and stone location,stone size,and postoperative related complications(P>0.05).After 2 weeks of ureteral stent placement,the USSQ score in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Compared with conventional double J stents,the use of modified single J fishtail stents during the stage of ureteral stenting under local anesthesia which was used for ureteral calculi patients during pregnancy significantly reduced SRS,especially urinary tract symptoms.

Ureteral stentStent-related symptomsThe ureteral stent symptoms questionnairePregnancy

管日戬、朱剑勇、雷樟明、万里军

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324000 温州医科大学附属衢州医院(衢州市人民医院)

输尿管支架管 输尿管支架相关症状 输尿管支架症状问卷评分表 孕妇

衢州市指导性科技攻关项目

2021003

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(6)
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