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中华腔镜泌尿外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (02) : 187 -191. doi: 10.3877/cma.j.issn.1674-3253.2025.02.010

临床研究

Allium金属覆膜支架治疗输尿管狭窄的临床观察
张鑫1, 成建军1, 李鹏杰1, 郑强1, 杜兰庭1, 申棚宇1, 郝旭丽1, 刘红耀1,()   
  1. 1. 030000 太原,山西省第二人民医院泌尿外科
  • 收稿日期:2023-03-03 出版日期:2025-04-01
  • 通信作者: 刘红耀

Clinical observation on the treatment of ureteral stricture with Allium ureteral stent

Xin Zhang1, Jianjun Cheng1, Pengjie Li1, Qiang Zheng1, Lanting Du1, Pengyu Shen1, Xuli Hao1, Hongyao Liu1,()   

  1. 1. Department of Urology,the Second People's Hospital of Shanxi Province,Taiyuan 030000,China
  • Received:2023-03-03 Published:2025-04-01
  • Corresponding author: Hongyao Liu
引用本文:

张鑫, 成建军, 李鹏杰, 郑强, 杜兰庭, 申棚宇, 郝旭丽, 刘红耀. Allium金属覆膜支架治疗输尿管狭窄的临床观察[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(02): 187-191.

Xin Zhang, Jianjun Cheng, Pengjie Li, Qiang Zheng, Lanting Du, Pengyu Shen, Xuli Hao, Hongyao Liu. Clinical observation on the treatment of ureteral stricture with Allium ureteral stent[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2025, 19(02): 187-191.

目的

观察Allium 该种金属覆膜支架在复杂输尿管狭窄患者中的安全性和有效性。

方法

回顾性分析山西省第二人民医院泌尿外科从2019 年12 月至2022 年10 月使用Allium 输尿管金属覆膜支架用于治疗复杂输尿管狭窄18 例患者的临床资料,共留置支架22 根,均行内镜下Allium 支架置入术,比较术前和术后2 个月肾积水宽度及生活质量的改善情况,以及支架置入后并发症发生情况和远期效果。

结果

18 例患者均顺利完成输尿管支架置入,其中2 例患者因长段输尿管狭窄分别留置多个支架。所有患者术后即刻位置满意,手术时间为(101±23)min。术后2 个月患侧肾积水宽度较术前明显改善,差异有统计学意义(P<0.001),患者的自我生活质量评分明显高于术前(P<0.001)。患者的近期并发症主要是腰痛(7 例),发热(2 例)和肉眼血尿(4 例),经抗炎、补液及解痉等对症处理后症状基本消失。远期并发症方面,共有5 例发生支架移位,2 例再次输尿管狭窄,以及1 例反复膀胱刺激症状,最终拔除输尿管支架。

结论

Allium 输尿管支架改善输尿管梗阻效果明显,同时明显减少了副作用,提高了患者的耐受性,但仍有部分患者的并发症需要重视,同时远期疗效需要进一步观察。

Objective

To observe the safety and efficacy of Allium ureteral of the metal covered stent in patients with complicated ureteral stenosis.

Methods

The data of 18 patients with complex ureteral stricture who were treated with Allium ureteral metal covered stent in the Second People's Hospital of Shanxi Province from December 2019 to October 2022 were retrospectively analyzed.A total of 22 stents were placed.All patients underwent endoscopic Allium stent placement.The changes of hydronephrosis width and renal function before and after the operation were compared,as well as the complications after the placement of ureteral stent.

Results

The ureteral stents were successfully placed in 18 patients,among them,2 patients had multiple more stents for long ureteral stricture.All stents were positioned satisfactorily after operation.The operation time was (101±23) min.The width of hydronephrosis on the affected side was significantly improved 2 months after operation compared with that before operation,with significant difference (P<0.001).Similarly,The quality of life of patients was higher than preoperation significantly (P<0.001).The early complications of the patients were mainly low back pain (7 cases),fever(2 cases) and gross hematuria (4 cases).The symptoms basically disappeared after anti-inflammatory,fluid infusion and spasmolysis treatment.In terms of long-term complications,stent displacement occurred in 5 cases,ureteral stricture again occurred in 2 cases,and repeated bladder irritation symptoms occurred in 1 case which removed the ureteral stent finally.

Conclusions

Allium ureteral stent can significantly improve ureteral obstruction,reduce side effects and improve patient tolerance.However,some patients still need to pay attention to complications.At the same time,the long-term effect needs further observation.

表1 18 例(19 侧)输尿管狭窄患者术前和术后2 个月肾积水宽度及生活质量变化(x±s
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