输尿管支架的临床、材料和设计综述。

IF 1.4 Q3 UROLOGY & NEPHROLOGY Central European Journal of Urology Pub Date : 2023-01-01 DOI:10.5173/ceju.2023.218
Valentina Bernasconi, Marco Tozzi, Amelia Pietropaolo, Vincent De Coninck, Bhaskar K Somani, Thomas Tailly, Ewa Bres-Niewada, Ioannis Mykoniatis, Andrea Gregori, Michele Talso
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引用次数: 1

摘要

输尿管支架是泌尿外科手术中有用的装置。输尿管支架的主要目的是允许尿液通过,减少与尿路梗阻相关的早期或晚期并发症。尽管它们被广泛使用,但在支架的组成和应用适应症方面普遍缺乏知识和意识。我们综合了我们对市场上可用的材料、涂层和形状的广泛研究,然后分析了输尿管支架的主要特点和特点。我们也将注意力集中在放置输尿管支架时必须考虑的副作用和并发症上。当需要输尿管支架时,必须评估结痂、微生物定植、支架相关症状和患者病史。完美的支架应具有许多特征,包括易于插入和取出,易于操作,抗结痂和迁移,缺乏并发症,生物相容性,放射性不透明,生物耐久性,可负担性(成本效益),耐受性和最佳流动特性。然而,需要进一步的研究来提供更多关于支架组成和体内疗效的信息。在这篇叙述性综述中,我们涵盖了输尿管支架的基本信息和主要特征,以帮助临床医生根据特定情况选择合适的装置。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Comprehensive overview of ureteral stents based on clinical aspects, material and design.

Ureteral stents are useful devices in urological surgery. The main objective of a ureteric stent is to allow passage of urine and reduce early or late complications related to obstruction in the urinary tract. Despite their widespread use, there is a general lack of knowledge and awareness in stent composition and indication of application. We represented a synthesis of our extensive research over materials, coatings and shapes available on the market and then analyzed the main characteristics and peculiarities of ureteral stents. We have also focused our attention over the side effects and complication that must be considered when placing a ureteral stent. Encrustation, microbial colonization, stent-related symptoms and patient's history must always be evaluated when there is the need for a ureteral stent. The perfect stent should have many characteristics including easy insertion and removal, easy manipulation, resistance to encrustation and migration, lack of complications, biocompatibility, radio-opacity, biodurability, affordability (cost-effectiveness), tolerability and optimal flow characteristics. Nevertheless, further research and studies need to be done to provide more information about stent composition and efficacy in vivo. In this narrative review, we covered the basic information and main characteristics of ureteral stents, in order to help clinicians choose the appropriate device needed for a given situation.

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来源期刊
Central European Journal of Urology
Central European Journal of Urology UROLOGY & NEPHROLOGY-
CiteScore
2.30
自引率
8.30%
发文量
48
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