目的探讨2周的输尿管支架体内置入时长对男性患者支架相关性功能障碍的影响。方法分析2021年1-12月昆明理工大学附属安宁市第一人民医院泌尿外科85例由结石导致上尿路梗阻患者在支架置入前、置入后2周和取出后2周的情况,使用微信扫描二...目的探讨2周的输尿管支架体内置入时长对男性患者支架相关性功能障碍的影响。方法分析2021年1-12月昆明理工大学附属安宁市第一人民医院泌尿外科85例由结石导致上尿路梗阻患者在支架置入前、置入后2周和取出后2周的情况,使用微信扫描二维码进行问卷调查,包括国际勃起功能指数(International Erectile Function Index,IIEF-5)、前列腺症状评分(International Prostate Symptom Score,I-PSS)和生活质量评分表(Quality of Life,QOL)。研究者记录患者体质量指数(Body Mass Index,BMI)、职业、学历、年龄、吸烟史、饮酒史及支架远端袢在膀胱内位置。结果患者的不同职业、年龄、文化程度、BMI、吸烟、饮酒、支架膀胱内位置间性功能差异无统计学意义。术后2周的IIEF-5各子域得分及总分均低于术前和术后4周(均P<0.05)。术前与术后2周时勃起功能等级的差异无统计学意义(P>0.05),而术后4周的勃起功能等级高于术前和术后2周(P<0.05)。QOL及I-PSS的(对数值)平均水平在术后2周时上升,而在术后4周时下降且低于术前。结论输尿管支架会对男性性功能产生负面影响,置管时间控制在2周内有助于改善患者性生活,提高患者生活质量。展开更多
Endourology has developed very quickly during the past decades. For transurethral therapy of diseases of lower urinary tract, it has been gradually accepted by both urologists and patients for plasmatic electrocautery...Endourology has developed very quickly during the past decades. For transurethral therapy of diseases of lower urinary tract, it has been gradually accepted by both urologists and patients for plasmatic electrocautery resection, holmium laser and electrochemical enucleation of benign prostatic hyperplasia. Flexible ureteroscope has been widely used for examination of upper urinary tract for unknown urinary bleeding and micronephrostomy has achieved great success for percutaneous nephrolithotripsy. Laparoscope has become very popular and can be used to perform most of the operations in the field of urology.展开更多
文摘目的探讨2周的输尿管支架体内置入时长对男性患者支架相关性功能障碍的影响。方法分析2021年1-12月昆明理工大学附属安宁市第一人民医院泌尿外科85例由结石导致上尿路梗阻患者在支架置入前、置入后2周和取出后2周的情况,使用微信扫描二维码进行问卷调查,包括国际勃起功能指数(International Erectile Function Index,IIEF-5)、前列腺症状评分(International Prostate Symptom Score,I-PSS)和生活质量评分表(Quality of Life,QOL)。研究者记录患者体质量指数(Body Mass Index,BMI)、职业、学历、年龄、吸烟史、饮酒史及支架远端袢在膀胱内位置。结果患者的不同职业、年龄、文化程度、BMI、吸烟、饮酒、支架膀胱内位置间性功能差异无统计学意义。术后2周的IIEF-5各子域得分及总分均低于术前和术后4周(均P<0.05)。术前与术后2周时勃起功能等级的差异无统计学意义(P>0.05),而术后4周的勃起功能等级高于术前和术后2周(P<0.05)。QOL及I-PSS的(对数值)平均水平在术后2周时上升,而在术后4周时下降且低于术前。结论输尿管支架会对男性性功能产生负面影响,置管时间控制在2周内有助于改善患者性生活,提高患者生活质量。
文摘Endourology has developed very quickly during the past decades. For transurethral therapy of diseases of lower urinary tract, it has been gradually accepted by both urologists and patients for plasmatic electrocautery resection, holmium laser and electrochemical enucleation of benign prostatic hyperplasia. Flexible ureteroscope has been widely used for examination of upper urinary tract for unknown urinary bleeding and micronephrostomy has achieved great success for percutaneous nephrolithotripsy. Laparoscope has become very popular and can be used to perform most of the operations in the field of urology.
