Allium覆膜金属尿道支架治疗膜部尿道狭窄的临床应用探讨  

Clinical research of Allium urethral stent in the treatment of membranous urethral stricture

作　　者：薛竞东 李超[1,2] 吴登龙[1] 周伟东[1] 徐成党[1] 王新安 李浩鹏 Xue Jingdong;Li Chao;Wu Denglong;Zhou Weidong;Xu Chengdang;Wang Xin'an;Li Haopeng(Department of Urology,Tongji Hospital,School of Medicine,Tongji University,Shanghai 200065,China;Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200092,China)

机构地区：[1]同济大学附属同济医院泌尿外科,上海200065 [2]上海交通大学医学院附属新华医院泌尿外科,上海200092

出　　处：《中华泌尿外科杂志》2023年第11期859-860,共2页Chinese Journal of Urology

基　　金：上海市“科技创新行动计划”医学创新研究专项(20Y11904400)。

摘　　要：目前国内Allium支架应用于膜部尿道狭窄的报道甚少,其安全性和有效性有待观察。本研究回顾性分析我院使用Allium覆膜金属尿道支架治疗5例膜部尿道狭窄患者的资料。患者术前国际前列腺症状评分(IPSS)(8.80±1.30)分,生活质量评分(QOL)(4.20±0.84)分,国际勃起功能指数问卷(IIEF-5)评分(20.20±1.92)分。术后6个月IPSS(3.60±1.52)分,Q0L均为1分,均较术前改善IIEF-5评分(19.80±1.48)分。该手术操作难度小,手术损伤小,可以缓解膜部尿道狭窄患者的排尿困难,对患者性功能影响较小,总体安全可控,合适的留置时间仍需探索。There are few reports on the use of Allium stents in the treatment of membranous urethral stricture in China.Its safety and effectiveness need to be observed.This study retrospectively analyzed the data of 5 patients admitted to our hospital for the treatment of membranous urethral stricture using Alliumcovered metal urethral stents in the past 5 years.The preoperative International Prostatic Symptom Score(IPSS)score was 8.80±1.30,quality of life(Q0L)score was 4.20±0.84,and the International Index of Erectile Function-5(IIEF-5)score was 20.20±1.92,respectively.Six months after the operation,the IPSS score was 3.60±1.52,the QOL score was 1,and the IIEF-5 score was 19.80±1.48.This operation is easy with little invasion.It can alleviate the dysuria of patients with membranous urethral stricture and has little impact on the sexual function of patients.It is generally safe and controllable,but the appropriate time for implantation still needs to be explored.

关 键 词：尿道狭窄 尿道支架 留置时间 膜部尿道 

分 类 号：R699.4[医药卫生—泌尿科学]