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三种输尿管支架结壳对比的实验研究

黄晨 陈浩栋 徐潮樟 陈统权 陈楚义 李逊

岭南现代临床外科2025,Vol.25Issue(4):220-226,7.
岭南现代临床外科2025,Vol.25Issue(4):220-226,7.DOI:10.3969/j.issn.1009-976X.2025.04.002

三种输尿管支架结壳对比的实验研究

Experimental study on the comparison of encrustation of three types of ureteral stents

黄晨 1陈浩栋 1徐潮樟 1陈统权 1陈楚义 1李逊2

作者信息

  • 1. 香港中文大学(深圳)附属第二医院&深圳市龙岗区人民医院泌尿外科,广东 深圳 518100
  • 2. 广州医科大学附属第五医院,广东 广州 510700
  • 折叠

摘要

Abstract

Objective To conduct a comparative study on the encrustation of three types of ureteral stents under in vitro conditions.Methods The three groups of ureteral stents—hydrophilic-coated ureteral stents,imported non-coated ureteral stents,and domestic non-coated ureteral stents—were evenly divided into 1 cm segments.Subsequently,the segments of the three groups of ureteral stents were immersed in artificial urine for 2,4,6,8,10,and 12 weeks.After the sample preparation was completed,the outer surfaces and cross-sections of the three groups of ureteral stents were first scanned using a scanning electron microscope(SEM).Secondly,based on the SEM,an energy-dispersive spectrometer(EDS)was used to analyze the inorganic elements in the encrustation of the regions of interest.Finally,the encrustation was fully dissolved in 5%nitric acid solution,and an automatic biochemical analyzer was employed to measure the concentrations of calcium,phosphate,magnesium,and other ions in the solution.Results The scanning electron microscopy(SEM)images and biochemical analysis results indicated that the encrustation on all three groups of ureteral stents increased with prolonged indwelling time.At the 2-week time point,there was no significant difference in the encrustation mass among the three groups of ure-teral stents.Starting from the 4-week time point,the mass of inorganic elements on the hydrophilic-coated stents was significantly greater than that on the imported non-coated stents and the domestic non-coated stents(P<0.01).Conclusion As the retention time of ureteral stents increases,the amount of crusting progressively increases.Hydrophilic coating materials may promote surface crusting of polyurethane ureteral stents.It is recommended to clinically monitor the retention time of ureteral stents.

关键词

输尿管支架/结壳/生物膜/聚氨酯/亲水涂层

Key words

ureteral stents/encrustation/biofilm/polyurethane/hydrophilic coating

分类

医药卫生

引用本文复制引用

黄晨,陈浩栋,徐潮樟,陈统权,陈楚义,李逊..三种输尿管支架结壳对比的实验研究[J].岭南现代临床外科,2025,25(4):220-226,7.

基金项目

深圳市龙岗区医疗卫生科技计划项目(LGWJ2022-22) (LGWJ2022-22)

岭南现代临床外科

1009-976X

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