输尿管支架管末端圆环位置与留置支架管相关临床症状的关系

发布时间：2018-05-07 05:46

本文选题：输尿管支架管 + 下尿路症状　；参考：《第三军医大学学报》2016年04期

【摘要】：目的研究输尿管支架管膀胱端位置与留置输尿管支架管患者相关临床症状的关系。方法选取2014年4月至2015年4月于我院行单侧输尿管镜检并留置输尿管支架管手术患者共250例,留置1个月后拔除支架管,拔管前复查KUB了解支架管末端圆环与耻骨联合正中线的关系,复查尿常规,并完成国际前列腺症状评分(international prostate symptom score,IPSS)、生活质量评分(quality of life,QOL)、视觉模拟疼痛评分(visual analogue scale,VAS)、血尿症状评分。结果复查KUB时支架管末端圆环位于耻骨联合正中线患侧的69例(A组),末端圆环位于耻骨联合正中线的117例(B组),末端圆环位于耻骨联合正中线对侧的64例(C组)。3组患者IPSS评分比较均存在统计学差异(P0.01),B组最高,为(14.8±5.7);3组患者QOL评分、VAS腰痛评分、VAS尿痛评分比较差异均有统计学意义(P0.01),其中对B组患者生活质量影响最大,评分为(3.7±1.4),VAS腰痛评分A组最高,为(5.3±2.1),VAS尿痛评分B组最高,为(4.5±3.1);血尿症状评分B、C组比较差异无统计学意义(P=0.32),A组与B组、C组比较差异有统计学意义(P0.01);3组患者尿常规白细胞对比差异无统计学意义(P=0.10,P=0.63,P=0.33)。结论输尿管支架管末端圆环位置与留置支架管相关临床症状密切相关,良好的末端位置能显著改善患者相关临床症状并提高生活质量。
[Abstract]:Objective to study the relationship between the position of the bladder end of ureteral stent and the related clinical symptoms of ureteral stent. Methods 250 cases were selected from April 2014 to April 2015 in our hospital with unilateral ureteroscopy and ureteral stent implantation. After 1 months, the stent was extracted and KUB was rechecked to understand the end circle of the stent. The relationship between the ring and the symphysis of pubic symphysis, reexamination of the urine routine, and completing the International Prostatic Symptom Score (International Prostate Symptom Score, IPSS), the quality of life score (quality of life, QOL), the visual analogue pain score (visual analogue scale,), and the hematuria symptom score. 69 cases (group A) of the median line of the median line (group A), the end circle was located in 117 cases of the symphysis pubis median line (group B). The IPSS scores of the.3 group in the group of 64 cases (group C) of the symphysis and midline of pubic symphysis were all statistically different (P0.01), the highest in the B group was (14.8 + 5.7); the 3 groups of patients with QOL score, the VAS low back pain score, and the VAS urine pain score were all the difference. There were statistical significance (P0.01), which had the greatest impact on the quality of life in the group B, the score was (3.7 + 1.4), the VAS low back pain score in the A group was the highest, (5.3 + 2.1), the VAS urine pain score in the B group was the highest, (4.5 + 3.1), the hematuria symptom score was B, the C group was not statistically significant (P=0.32), A group and B group, and 3 groups of patients. There was no significant difference in the contrast of urine routine white blood cells (P=0.10, P=0.63, P=0.33). Conclusion the position of the end of the ureteral stent is closely related to the clinical symptoms associated with the indwelling stent, and the good terminal position can significantly improve the patient's clinical symptoms and improve the quality of life.

【作者单位】：重庆医科大学附属第一医院泌尿外科;
【分类号】：R699.4

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