Randomized evaluation of ureteral stents using validated symptom questionnaire
Randomized evaluation of ureteral stents using validated symptom questionnaire
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DOI：
10.1089/end.2005.19.990
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发表时间：
2005-10-01
影响因子：
2.7
通讯作者：
Monga, M
中科院分区：
文献类型：
--
作者：
Lee, C;Kuskowski, M;Monga, M
背景和目的：输尿管支架与明显的疼痛和泌尿系统症状相关。制造商已经改变了支架设计和材料，试图将这种发病率降至最低。本研究评估了这些修改的影响。患者和方法：支架制造商被要求提供他们认为与患者不适最少相关的6 F输尿管支架。接受无并发症输尿管镜检查的患者随机接受Bard Inlay、Cook Endo-Sof、Microvasive Contour、Applied Medical Vertex或Surgitek Classic双猪尾支架。在第1、3和5天进行输尿管支架症状问卷调查（USSQ），患者记录麻醉日记。资料以单因素变异数分析及非参数方法进行分析。结果：共有44位病患（73%）完成所有的USSQ问卷。第3天，Inlay支架的泌尿系统症状评分显著低于Vertex（P = 0.01）、Contour（P = 0.05）、Endo-Sof（P = 0.03）和Classic（P = 0.02）支架。在疼痛和一般症状评分或麻醉剂使用方面没有显着差异。结论：巴德嵌体支架与其他输尿管支架相比，泌尿系统症状较轻。USSQ是测量支架之间差异的敏感工具。
Background and Purpose: Ureteral stents are associated with significant pain and urinary symptoms. Manufacturers have altered stent designs and materials in an attempt to minimize this morbidity. This study evaluated the impact of these modifications.Patients and Methods: Stent manufacturers were asked to provide the 6F ureteral stent they believed would be associated with the least patient discomfort. Patients undergoing uncomplicated ureteroscopy were randomized to the Bard Inlay, Cook Endo-Sof, Microvasive Contour, Applied Medical Vertex, or Surgitek Classic Double-Pigtail stent. The Ureteric Stent Symptom Questionnaire (USSQ) was administered on days 1, 3, and 5, and the patients maintained a narcotic diary. The data were analyzed using ANOVA and nonparametric methods.Results: A total of 44 patients (73%) completed all USSQ questionnaires. Urinary symptom scores were significantly lower for the Inlay stent on day 3 than for the Vertex (P = 0.01), Contour (P = 0.05), Endo-Sof (P = 0.03), and Classic (P = 0.02) stents. No significant differences were noted in pain and general symptom scores or narcotic use.Conclusions: The Bard Inlay stent is associated with less-severe urinary symptoms than other ureteral stents. The USSQ is a sensitive tool to measure differences between stents.