磁性输尿管支架在肾移植受者中是可行的：单中心经验
Magnetic Ureteral Stents Are Feasible in Kidney Transplant Recipients: A Single-Center Experience.
作者信息
Pohlmann P F, Kunzelmann M, Wilhelm K, Miernik A, Gratzke C, Jud A, Pisarski P, Jänigen B
机构信息
Department of Urology, Faculty of Medicine, University of Freiburg-Medical Centre, Freiburg, Germany.
Transplantation Centre, Department of General and Visceral Surgery, Faculty of Medicine, University of Freiburg-Medical Centre, Freiburg, Germany.
出版信息
Int J Organ Transplant Med. 2019;10(4):162-166.
BACKGROUND
Insertion of ureteral catheters is a common procedure in kidney transplantation. The stent is usually removed by cystoscope. Magnetic ureteral stents may be an alternative to conventional stents.
OBJECTIVE
To assess the functional efficacy and feasibility of magnetic double J (DJ) stents in kidney transplant recipients.
METHODS
We used 6 Fr (diameter), 22 cm (length) magnetic DJs. We examined 7 cases of exclusively AB0-identical living donations. Stent were removed 10-12 days after transplantation. Ureteral Stent Symptoms Questionnaire (USSQ) and visual analog scale (VAS) were used to determine quality of life and pain of the recipients. The total removal time was recorded and cost reduction was calculated.
RESULTS
Removal of the magnetic DJ was successful in all cases. The mean±SD duration of the removal was 3.4±1.6 min. The mean±SD overall pain score on the VAS during the procedure was 2.6±1.1. Using this technique was associated with a cost reduction of € 130.
CONCLUSION
Using magnetic ureteral stents is a feasible option for living donation AB0-identical kidney transplant recipients.
背景
输尿管导管置入是肾移植中的常见操作。支架通常通过膀胱镜取出。磁性输尿管支架可能是传统支架的一种替代选择。
目的
评估磁性双J（DJ）支架在肾移植受者中的功能疗效和可行性。
方法
我们使用了6 Fr（直径）、22 cm（长度）的磁性DJ支架。我们检查了7例完全AB0血型相同的活体捐赠者。移植后10 - 12天取出支架。使用输尿管支架症状问卷（USSQ）和视觉模拟量表（VAS）来确定受者的生活质量和疼痛程度。记录总的取出时间并计算成本降低情况。
结果
所有病例中磁性DJ支架的取出均成功。取出的平均±标准差持续时间为3.4±1.6分钟。操作过程中VAS上的平均±标准差总体疼痛评分为2.6±1.1。使用该技术可使成本降低130欧元。
结论
对于AB0血型相同的活体捐赠肾移植受者，使用磁性输尿管支架是一种可行的选择。
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