切换至 "中华医学电子期刊资源库"

中华腔镜泌尿外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (04) : 402 -405. doi: 10.3877/cma.j.issn.1674-3253.2024.04.017

综述

输尿管支架结壳的相关研究进展
方道成1, 陈立新1, 胡媛媛2,()   
  1. 1. 201600 上海交通大学医学院附属松江医院泌尿外科
    2. 201600 上海交通大学医学院附属松江医院全科医学科
  • 收稿日期:2022-10-09 出版日期:2024-08-01
  • 通信作者: 胡媛媛

Research progress on ureteral stent crusts

Daocheng Fang1, Lixin Chen1, Yuanyuan Hu2,()   

  1. 1. Department of Urology, Songjiang Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 201600, China
    2. Department of General Medicine, Songjiang Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 201600, China
  • Received:2022-10-09 Published:2024-08-01
  • Corresponding author: Yuanyuan Hu
引用本文:

方道成, 陈立新, 胡媛媛. 输尿管支架结壳的相关研究进展[J]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(04): 402-405.

Daocheng Fang, Lixin Chen, Yuanyuan Hu. Research progress on ureteral stent crusts[J]. Chinese Journal of Endourology(Electronic Edition), 2024, 18(04): 402-405.

输尿管支架作为泌尿外科常用器材,能有效扩张输尿管,促进尿液顺畅流动,并有助于缓解输尿管梗阻问题。然而,使用输尿管支架也可能引发一系列副作用和并发症,其中最常见的便是支架结壳。这一现象容易导致支架发生脆化甚至断裂,并且在拔管过程中增加输尿管撕脱的风险。同时,沉积物的形成还可能阻碍尿液引流,对输尿管造成损伤。本文拟就输尿管支架结壳的机制、危险因素及相关研究进展进行综述。

As a common device in Urology, ureteral stents can effectively dilate the ureter, promote the smooth flow of urine, and help to relieve ureteral obstruction. However, the use of ureteral stents may also cause a series of side effects and complications, the most common of which is stent crusting. This phenomenon can easily lead to stent brittleness or even fracture, and increase the risk of ureteral avulsion during extubation. At the same time, the formation of sediment may also hinder urine drainage and cause damage to the ureter. This article reviews the mechanism, risk factors and related research progress of ureteral stent crusting.

[1]
Mosayyebi A, Vijayakumar A, Yue QY, et al. Engineering solutions to ureteral stents: material, coating and design[J]. Cent European J Urol, 2017, 70(3): 270-274.
[2]
Zhao J, Cao Z, Ren L, et al. A novel ureteral stent material with antibacterial and reducing encrustation properties[J]. Mater Sci Eng C Mater Biol Appl, 2016, 68: 221-228.
[3]
何朝辉, 王航涛, 唐福才, 等. 长期留置输尿管内支架对肾功能的影响[J]. 广州医科大学学报, 2017, 45(1): 32-35.
[4]
覃斌, 吴清国, 季汉初, 等. 上尿路双J管长期滞留合并结石治疗方法的选择[J]. 中国微创外科杂志, 2018, 18(8): 767-768.
[5]
林长明, 侯冰冰, 古宏兵, 等. 遗忘双J管自然断裂2例[J]. 临床泌尿外科杂志, 2019, 34(4): 332-333.
[6]
Khoddami S, Chew BH, Lange D. Problems and solutions of stent biofilm and encrustations: a review of literature[J]. Turk J Urol, 2020, 46(Supp. 1): S11-S18.
[7]
Small AC, Thorogood SL, Shah O, et al. Emerging mobile platforms to aid in stone management[J]. Urol Clin North Am, 2019, 46(2): 287-301.
[8]
Cao Z, Zhao J, Yang K. Cu-bearing stainless steel reduces cytotoxicity and crystals adhesion after ureteral epithelial cells exposing to calcium oxalate monohydrate[J]. Sci Rep, 2018, 8(1): 14094.
[9]
Lange D, Bidnur S, Hoag N, et al. Ureteral stent-associated complications-where we are and where we are going[J]. Nat Rev Urol, 2015, 12(1): 17-25.
[10]
Bai F, Cai Z, Yang L. Recent progress in experimental and human disease-associated multi-species biofilms[J]. Comput Struct Biotechnol J, 2019, 17: 1234-1244.
[11]
Yu Tsukanov A, Akhmetov DS, Blesman AI, et al. The impact of ureteral stent surface on encrustation and biofilm formation[J]. Urologiia, 2018(2): 40-45.
[12]
Roy R, Tiwari M, Donelli G, et al. Strategies for combating bacterial biofilms: a focus on anti-biofilm agents and their mechanisms of action[J]. Virulence, 2018, 9(1): 522-554.
[13]
de Grazia A, Somani BK, Soria F, et al. Latest advancements in ureteral stent technology[J]. Transl Androl Urol, 2019, 8(Suppl 4): S436-S441.
[14]
Zumstein V, Betschart P, Albrich WC, et al. Biofilm formation on ureteral stents - incidence, clinical impact, and prevention[J]. Swiss Med Wkly, 2017, 147: w14408.
[15]
Chew BH, Chan J, Choy D, et al. The interaction of urinary components with biomaterials in the urinary tract: ureteral stent discoloration[J]. J Endourol, 2020, 34(5): 608-616.
[16]
Toprak T, Şahin A, Kutluhan MA, et al. Does duration of stenting increase the risk of clinical infection?[J]. di, 2020, 91(4): 237-240.
[17]
Kartal I G, Baylan B, Gok A, et al. The association of encrustation and ureteral stent indwelling time in urolithiasis and KUB grading system[J]. Urol J, 2018, 15(6): 323-328.
[18]
Shabeena KS, Bhargava R, Manzoor MAP, et al. Characteristics of bacterial colonization after indwelling double-J ureteral stents for different time duration[J]. Urol Ann, 2018, 10(1): 71-75.
[19]
Zampini A, Nguyen AH, Rose E, et al. Defining dysbiosis in patients with urolithiasis[J]. Sci Rep, 2019, 9(1): 5425.
[20]
Buhmann MT, Abt D, Nolte O, et al. Encrustations on ureteral stents from patients without urinary tract infection reveal distinct urotypes and a low bacterial load[J]. Microbiome, 2019, 7(1): 60.
[21]
Li X, Gao H, Sun X, et al. A preliminary study on the role of Bacteroides fragilis in stent encrustation[J]. World J Urol, 2021, 39(2): 579-588.
[22]
Beysens M, Tailly TO. Ureteral stents in urolithiasis[J]. Asian J Urol, 2018, 5(4): 274-286.
[23]
Kawahara T, Ito H, Terao H, et al. Ureteral stent encrustation, incrustation, and coloring: morbidity related to indwelling times[J]. J Endourol, 2012, 26(2): 178-182.
[24]
Forbes C, Scotland KB, Lange D, et al. Innovations in ureteral stent technology[J]. Urol Clin North Am, 2019, 46(2): 245-255.
[25]
Rebl H, Renner J, Kram W, et al. Prevention of encrustation on ureteral stents: which surface parameters provide guidance for the development of novel stent materials?[J]. Polymers, 2020, 12(3): 558.
[26]
Cottone CM, Lu S, Wu YX, et al. Surface-treated pellethanes: comparative quantification of encrustation in artificial urine solution[J]. J Endourol, 2020, 34(8): 868-873.
[27]
El-Nahas AR, Lachine M, Elsawy E, et al. A randomized controlled trial comparing antimicrobial (silver sulfadiazine)-coated ureteral stents with non-coated stents[J]. Scand J Urol, 2018, 52(1): 76-80.
[28]
Szell T, Dressler FF, Goelz H, et al. In vitro effects of a novel coating agent on bacterial biofilm development on ureteral stents[J]. J Endourol, 2019, 33(3): 225-231.
[29]
Ahmed EM. Hydrogel: preparation, characterization, and applications: a review[J]. J Adv Res, 2015, 6(2): 105-121.
[30]
Singha P, Locklin J, Handa H. A review of the recent advances in antimicrobial coatings for urinary catheters[J]. Acta Biomater, 2017, 50: 20-40.
[31]
Gadzhiev N, Gorelov D, Malkhasyan V, et al. Comparison of silicone versus polyurethane ureteral stents: a prospective controlled study[J]. BMC Urol, 2020, 20(1): 10.
[32]
Tian Q, Zhang C, Deo M, et al. Responses of human urothelial cells to magnesium-zinc-strontium alloys and associated insoluble degradation products for urological stent applications[J]. Mater Sci Eng C Mater Biol Appl, 2019, 96: 248-262.
[33]
Champagne S, Mostaed E, Safizadeh F, et al. In vitro degradation of absorbable zinc alloys in artificial urine[J]. Materials, 2019, 12(2): 295.
[34]
Asakawa J, Iguchi T, Tamada S, et al. Treatment outcomes of ureteral stenting for malignant extrinsic ureteral obstruction: a comparison between polymeric and metallic stents[J]. Cancer Manag Res, 2018, 10: 2977-2982.
[35]
Zhao J, Cao Z, Lin H, et al. In vivo research on Cu-bearing ureteral stent[J]. J Mater Sci Mater Med, 2019, 30(7): 83.
[36]
Barros AA, Oliveira C, Ribeiro AJ, et al. In vivo assessment of a novel biodegradable ureteral stent[J]. World J Urol, 2018, 36(2): 277-283.
[37]
Chew BH, Lange D, Paterson RF, et al. Next generation biodegradable ureteral stent in a yucatan pig model[J]. J Urol, 2010, 183(2): 765-771.
[38]
肖世伟, 李亚楠, 刘军, 等. 可降解输尿管支架管的研究进展[J]. 中华泌尿外科杂志, 2018, 39(1): 76-78.
[39]
Mosayyebi A, Lange D, Yann Yue Q, et al. Reducing deposition of encrustation in ureteric stents by changing the stent architecture: a microfluidic-based investigation[J]. Biomicrofluidics, 2019, 13(1): 014101.
[40]
Novikov AA, Tsukanov AY, Akhmetov DS, et al. Noninvasive ultrasonic sanitation of stents for drainage of the upper urinary tract[J]. Biomed Eng, 2018, 52(3): 173-176.
[41]
Ordonez M, Hwang EC, Borofsky M, et al. Ureteral stent versus no ureteral stent for ureteroscopy in the management of renal and ureteral calculi[J]. Cochrane Database Syst Rev, 2019, 2(2): CD012703.
[42]
Acosta-Miranda AM, Milner J, Turk TMT. The FECal Double-J: a simplified approach in the management of encrusted and retained ureteral stents[J]. J Endourol, 2009, 23(3): 409-415.
[43]
Arenas JL, Shen JK, Keheila M, et al. Kidney, ureter, and bladder (KUB): a novel grading system for encrusted ureteral stents[J]. Urology, 2016, 97: 51-55.
[44]
Wollin DA, Joyce AD, Gupta M, et al. Antibiotic use and the prevention and management of infectious complications in stone disease[J]. World J Urol, 2017, 35(9): 1369-1379.
[45]
Lee JH, Muthukumar T, Kim J, et al. Antibiotic prophylaxis for ureteral stent removal after kidney transplantation[J]. Clin Transplant, 2019, 33(3): e13491.
[46]
Rosado-Canto R, Parra-Avila I, Tejeda-Maldonado J, et al. Perioperative fosfomycin disodium prophylaxis against urinary tract infection in renal transplant recipients: a randomized clinical trial[J]. Nephrol Dial Transplant, 2020, 35(11): 1996-2003.
[47]
Alenezi NA, Zanaty F, Hodhod A, et al. The safety of ureteral stenting with the use of potassium citrate for management of renal uric acid stones[J]. Urol Ann, 2020, 12(1): 37-41.
[48]
周腾春, 耿志勇, 陈广进. 双J管拔除困难常见原因分析[J]. 临床和实验医学杂志, 2012, 11(4): 297-298.
[1] 杨友涵, 文印宪, 陈廖斌. 噬菌体用于关节假体周围感染治疗的研究进展[J]. 中华关节外科杂志(电子版), 2024, 18(01): 125-130.
[2] 刘虹宏, 杨永红, 张冬花, 林运. 老年冠脉分叉病变主支支架植入后在损伤边支使用药物涂层球囊进行修复的临床研究[J]. 中华损伤与修复杂志(电子版), 2023, 18(05): 387-393.
[3] 翟延荣, 朱亚萍, 张秀珍, 钟晓娟, 鲁香月, 张雨凡, 陆树良. 比较新型硅橡胶负压冲洗引流系统与聚氨酯负压引流系统体外防堵塞性能的观察[J]. 中华损伤与修复杂志(电子版), 2023, 18(02): 116-122.
[4] 张利, 张阳, 马菁菁, 喻哲昊, 葛亮, 孙林春. 细胞壁锚定蛋白SasX调控RNAⅢ参与金黄色葡萄球菌ST239克隆生物膜形成及致病性相关研究[J]. 中华实验和临床感染病杂志(电子版), 2023, 17(04): 252-259.
[5] 张延清, 冯少霞, 陈宇. 乳酸乳球菌对致龋菌生长及生物膜形成的作用[J]. 中华口腔医学研究杂志(电子版), 2024, 18(02): 96-102.
[6] 杨文刚, 赖义明, 黄浩, 黄海. 斜跨位上下联通置入Allium覆膜输尿管支架治疗输尿管狭窄的初步经验[J]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(04): 340-345.
[7] 胡月, 袁媛, 韩江英. 输尿管支架置入患者护理评估与干预研究进展[J]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(01): 86-89.
[8] 马涛, 叶春伟, 李志鹏. 输尿管镜碎石术后留置输尿管支架的必要性探讨[J]. 中华腔镜泌尿外科杂志(电子版), 2022, 16(05): 463-467.
[9] 邓超华, 李炯明, 刘建和, 方克伟, 王光, 李沛, 段飞. 经皮肾镜联合输尿管镜治疗双J管长期滞留并发结石[J]. 中华腔镜泌尿外科杂志(电子版), 2022, 16(04): 335-338.
[10] 许悦贤, 李国翔, 郝宗耀. 输尿管支架结痂的原因分析以及石痂与原发结石成分的比较[J]. 中华腔镜泌尿外科杂志(电子版), 2022, 16(03): 219-223.
[11] 耿晨昕, 于昊哲, 冯云. 关注眼用微针体系的构建策略[J]. 中华眼科医学杂志(电子版), 2022, 12(05): 257-261.
[12] 段林, 何艳艳, 李天晓, 陈松, 贺迎坤, 吴海刚. 镍钛合金支架表面修饰进展[J]. 中华介入放射学电子杂志, 2022, 10(01): 83-87.
[13] 孙丹, 姬会春, 祝宇翀, 单宇, 刘军权, 廖雨琴. 三叶青提取物TH-w3对金黄色葡萄球菌生物膜的抑制和清除作用[J]. 中华临床实验室管理电子杂志, 2022, 10(04): 227-232.
[14] 李倩珺, 黄淑洪, 雷毅怡, 冯泳琳. 黄连对生物膜状态下耐氟康唑白色念珠菌凝集素样序列基因表达影响[J]. 中华临床实验室管理电子杂志, 2022, 10(02): 89-94.
[15] 杨锐富, 周燕斌. 主要协同转运蛋白超家族膜转运蛋白与细菌生物膜形成的相关性研究进展[J]. 中华诊断学电子杂志, 2023, 11(02): 77-81.
阅读次数
全文


摘要