首页> 外文期刊>Kaohsiung Journal of Medical Sciences >Comparison of 4.8 Fr and 6 Fr ureteral stents on stent related symptoms following ureterorenoscopy: A prospective randomized controlled trial
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Comparison of 4.8 Fr and 6 Fr ureteral stents on stent related symptoms following ureterorenoscopy: A prospective randomized controlled trial

机译:4.8 Fr和6 Fr输尿管支架治疗输尿管镜后支架相关症状的比较:一项前瞻性随机对照试验

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The effects of ureteral stent diameters on ureteral stent-related symptoms were evaluated by using Turkish-validated Ureteral Stent Related Symptoms Questionnaire (USSQ). Datas on 126 patients underwent uncomplicated flexible ureterorenoscopy and 62 patients underwent uncomplicated semirigid ureteroscopy surgery without stent insertion (group 3) were collected. Patients were randomized preoperatively in a double-blind fashion to 4.8 French (group 1) and 6 French (group 2) ureteral JJ stents groups. The first follow-up visit was done at one week after surgery for all groups. Stents were removed on the third postoperative week for stented groups. The second follow-up visit was done at one week after stent removal for group 1 and group 2, and four week after surgery for group 3. Preoperative characteristics, operation time and hospitalization times were similar in both groups. Total USSQ scores were 91.9, 103.0, 44.2?at first visit and 54.3, 58.7, 28.5?at?second visit in group 1, group 2, and group 3, respectively. At both first and second visits, the group 2 had significantly higher USSQ scores than the group 1 (p?=?0.01 and p?
机译:输尿管支架直径对输尿管支架相关症状的影响通过土耳其验证的输尿管支架相关症状问卷(USSQ)进行评估。收集了126例行无并发症柔性输尿管镜检查的患者和62例未行无支架置入的半刚性输尿管镜手术的数据(第3组)。术前以双盲方式将患者随机分为4.8 French(第1组)和6 French(第2组)输尿管JJ支架组。所有组均在手术后一周进行首次随访。术后第3周移除支架组的支架。第一组和第二组在支架拆除后一周进行第二次随访,第三组在手术后第四周进行随访。两组的术前特征,手术时间和住院时间相似。第1组,第2组和第3组的USSQ总分在第一次就诊时分别为91.9、103.0、44.2分和在第二次就诊时分别为54.3、58.7、28.5分。在第一次和第二次就诊时,第2组的USSQ评分均明显高于第1组(分别为p?=?0.01和p?<?0.001)。第二次访问的第1组和第2组的得分均高于第3组?输尿管支架对患者的舒适度影响不佳,USSQ评分较高。与6个Fr JJ支架相比,使用4.8 Fr JJ支架可改善与支架相关的症状,并降低USSQ评分。因此,如果URS后要使用输尿管支架,我们建议使用4.8 Fr支架。

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