身高与双 J 支架膀胱内位置的关系及其与印度尼西亚版输尿管支架症状调查表(USSQ)的关系

S. Pramod, Safendra Siregar, Faris El Haq
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摘要

研究目的本研究旨在确定患者身高与膀胱内双 J 支架位置之间的关系,以及其位置是否与输尿管支架症状问卷(USSQ)有关。材料与方法:2021 年 7 月至 2022 年 7 月,哈桑-萨迪金学术医疗中心(Hasan Sadikin Academic Medical Center)泌尿科开展了一项队列研究,研究对象为插入双 J 支架的患者,支架尺寸为 4.7 Fr,长度为 26 cm。我们对患者的人口统计学特征和不同身高进行了评估,将其分为低于平均身高和高于平均身高两类。然后,我们使用腹部 X 光平片和 USSQ 评分来评估其支架位置。结果:本研究共纳入 90 份样本,其中 30 份样本的膀胱内双 J 支架位置为中线,30 份为对侧,30 份为同侧。只有身体高度与支架位置相关(P<0.05)。双 J 支架中线、对侧和同侧位置的术后 7 天和 30 天并发症的比较统计检验或相关性结果均有显著性(P<0.05)。同侧位置的支架显示出较低的 USSQ 评分。结论平均身高以上的男性和女性支架向对侧移位的风险较低,USSQ评分也较低。关键词双J支架、USSQ评分、双J支架位置。
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ASSOCIATION BETWEEN BODY HEIGHT AND DOUBLE J STENT INTRAVESICAL POSITION AND ITS RELATION WITH THE INDONESIAN VERSION OF URETERAL STENT SYMPTOM QUESTIONNAIRE (USSQ)
Objective: This study aims to determine the relationship between the patient’s body height with the intravesical double J stent position and whether its position is related to the ureteral stent symptom questionnaire (USSQ). Material & Methods: A cohort study with a study population of patients inserted with double J stent size 4.7 Fr and length 26 cm was carried out at the Department of Urology Hasan Sadikin Academic Medical Center from July 2021 to July 2022. We assess the patient’s demographic features and different body heights into two categories, below and above average. Then we evaluate its stent position using a plain abdominal X-ray and the USSQ score. Results: Ninety samples were included in this study; 30 of them had a midline intravesical double J stent position, 30 pieces of contralateral, and 30 samples of ipsilateral. Only body height correlated to the stent’s position (p<0.05). The results of comparative statistical tests or the association of postoperative complications between 7 days and 30 days in the position of the double J stent midline, contralateral and ipsilateral had significant results (p<0.05). Stent with ipsilateral position showed a lower USSQ score. Conclusion: Men and women above the average height have a lower risk for migration stent to the contralateral side and are also associated with lower USSQ scores. Keywords: Double J stent, USSQ score, double J stent position.
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