COMPARISON OF SYMPTOM CHARACTERISTICS OF INDWELLING URETERAL CATHETERS
COMPARISON OF SYMPTOM CHARACTERISTICS OF INDWELLING URETERAL CATHETERS
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DOI：
10.1016/s0022-5347(17)38433-1
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发表时间：
1991-04-01
影响因子：
6.6
通讯作者：
JENKINS, AD
中科院分区：
文献类型：
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作者：
PRYOR, JL;LANGLEY, MJ;JENKINS, AD
对4种不同类型7F双尾纤导管（包括Cook聚氨酯尾纤支架匕首、Surgitek Silitek Uropass双匕首、Cook C-Flex匕首和Van-Tec Soft支架）产生的体征和症状进行前瞻性剖面分析。 45 名男性和 28 名女性接受了支架植入，年龄从 23 岁到 72 岁不等。 总共 44 根导尿管的膀胱端有缝线，该缝线从尿道口引出以便于移除。 其余29根导尿管没有缝合。在插入后2天和6天以及拔除导尿管后1周评估症状，包括尿频、夜尿、血尿、胁腹痛、耻骨上疼痛、排尿困难和拔除导尿管时疼痛。 频率和夜尿以分钟为单位进行评估，疼痛按照0（无痛）至10（重度疼痛）的主观等级进行分级，并对排尿困难和血尿进行定性评估。 4种导尿管在尿频、夜尿、血尿、胁腹痛、公共部位疼痛和排尿困难方面无显着差异。 此外，在插入后 2 天或 6 天，有缝线和无缝线的导尿管之间的泌尿系统症状没有显着差异，拔除有缝线（平均 3.9）和无缝线（平均 5.0）导尿管时的疼痛也没有任何差异。 我们发现导管的成分和使用缝线以促进移除并没有显着影响患者的发病率。
The signs and symptoms produced by 4 different types of 7F double pigtail catheters, including Cook polyurethane pigtail stent dagger, Surgitek Silitek Uropass double-dagger, Cook C-Flex dagger and Van-Tec Soft stent, section were analyzed prospectively. The stents were placed in 45 men and 28 women ranging in age from 23 to 72 years old. A total of 44 catheters had a suture attached to the bladder end of the catheter, which exited from the urethral meatus to facilitate removal. The remaining 29 catheters had no suture attached.Symptoms were evaluated at 2 and 6 days after insertion and 1 week following removal of the catheter, and included urinary frequency, nocturia, hematuria, flank pain, suprapubic pain, dysuria and pain on removal of the catheter. Frequency and nocturia were evaluated in minutes, pain was graded on a subjective scale of 0 (no pain) to 10 (severe pain), and dysuria and hematuria were assessed qualitatively. There were no significant differences among the 4 types of catheters in terms of frequency, nocturia, hematuria, flank pain, suprapublic pain and dysuria. In addition, there was no significant difference in urinary symptoms between catheters with and without a suture at either 2 or 6 days after insertion nor was there any difference in pain on removal of catheters with (mean 3.9) and without (mean 5.0) suture. We found that catheter composition and use of suture to facilitate removal did not significantly affect patient morbidity.