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输尿管支架在肾移植中的应用

钟崔宇, 王於尘, 刘如敏, 等. 输尿管支架在肾移植中的应用[J]. 器官移植, 2023, 14(3): 461-465. doi: 10.3969/j.issn.1674-7445.2023.03.020
引用本文: 钟崔宇, 王於尘, 刘如敏, 等. 输尿管支架在肾移植中的应用[J]. 器官移植, 2023, 14(3): 461-465. doi: 10.3969/j.issn.1674-7445.2023.03.020
Zhong Cuiyu, Wang Yuchen, Liu Rumin, et al. Application of ureteral stent in kidney transplantation[J]. ORGAN TRANSPLANTATION, 2023, 14(3): 461-465. doi: 10.3969/j.issn.1674-7445.2023.03.020
Citation: Zhong Cuiyu, Wang Yuchen, Liu Rumin, et al. Application of ureteral stent in kidney transplantation[J]. ORGAN TRANSPLANTATION, 2023, 14(3): 461-465. doi: 10.3969/j.issn.1674-7445.2023.03.020

输尿管支架在肾移植中的应用

doi: 10.3969/j.issn.1674-7445.2023.03.020
基金项目: 

国家自然科学基金 82270784

国家自然科学基金 82070770

广东省自然科学基金 2020A1515010674

南方医院院长基金 2018C003

详细信息
    作者简介:
    通讯作者:

    苗芸(ORCID:0000-0003-3592-4695),博士,主任医师,研究方向为肾移植,Email:miaoyunecho@126.com

  • 中图分类号: R617, R692

Application of ureteral stent in kidney transplantation

More Information
  • 摘要: 肾移植术后易发生输尿管狭窄、尿漏等泌尿系统并发症,严重影响移植肾功能,甚至导致移植肾丢失。输尿管支架在肾移植中发挥着重要作用,其通过促进肾移植术后尿液从肾脏流入膀胱,减轻输尿管内压力,降低早期泌尿系统并发症的发生风险,但也可能造成尿路感染、支架相关并发症和BK病毒感染等不利影响。因此临床医师需要灵活把握输尿管支架移除指征。本文对肾移植领域输尿管支架的应用、可能带来的不利影响及移除时机做一综述,旨在为肾移植术后输尿管支架相关的临床决策提供参考。

     

  • 表  1  不同类型输尿管支架特点

    Table  1.   Characteristics of different types of ureteral stents

    设计类型 特点
    传统双J支架 通用设计,降低迁移风险
    环形支架 提供更好的患者舒适度
    网状支架 上尿路感染的发生率较低
    螺旋支架 更好地排尿和排出结石
    流线型侧孔支架 通过增加腔内外隔室之间的流体交换来减少颗粒沉积
    下载: 导出CSV
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出版历程
  • 收稿日期:  2022-12-31
  • 刊出日期:  2023-05-15

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