基于USSQ問卷的患者報告結(jié)局和臨床干預(yù)對改善上尿路結(jié)石患者生活質(zhì)量的研究

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【中圖分類號】R691.4【文獻(xiàn)標(biāo)志碼】A【收稿日期】2025-02-11

Effectiveness of outcome self-reporting and clinical intervention based on USSQ for improving the quality of life of patients with upper urinary tract stones

CheYulong，Wu Zhanpeng，Yuan Fangchao，Li Jie （Department of Urology，The First Affliated Hospital of Chongqing Medical University）

【AbstractlObective：Toivestigatethfasibilityofimprovingqualityoflifetoughoutcomeself-reportingndcinicalinteetio basedon the Ureteral Stent SymptomQuestionaire（USSQ）forpatientswithupper tracturolithiasis.Methods ：Weenrolled106 patients withupperurinarytractcalculifromJune223 to JuneO24whounderwentureteralstentplacementatTheFirstAfiliated HospitalofChongqingMedicalUniversity.WeappliedtheUSSQtomonitorthepatients’outcomesthroughtheirself-reports，ndused thedatatoinforclinicalinterventons.TefeasibilityoftisUSSQ-basedapproachforimprovingpatients’qualityoflifewasevaluated.Results：Themainsymptomsafterureteraltentplacementwerepainadhematuria，hilefrequencyurgencyfever，ndeual problemswerelesscommon.TheUQscoreashhestonthethirddaaferoperationandthereafterdeclinedinalltedsions. except the additional problem.After intervention，the total USSQ score （ 5 7 . 5 ± 1 0 . 1 vs. 5 1 . 6 ± 8 . 9 =2.981， P =0.004）and urinary symptom score （ 3 0 . 8 ± 5 . 3 vs. 2 6 . 7 ± 5 . 6 ， t = 3 . 4 7 8 ， P < 0 . 0 0 1 ） were significantly decreased. USSQ-based outcome self-reporting and clinicalinterventioncouldreducesymptomscoresandimprove patients’qualityoflife.Conclusion：USSQ-basedoutcome monitoring and managementarefeasibleand efective for improving thequalityoflifeof patients with upper tracturolithiasis.

【Key words】ureteral stent;ureteral stent symptom questionnaire ;patient self-report;quality of life

幾十年來，輸尿管支架一直被廣泛應(yīng)用于維持輸尿管通暢，在經(jīng)皮腎鏡和輸尿管鏡碎石術(shù)治療尿路結(jié)石后，常規(guī)放置輸尿管支架已成為標(biāo)準(zhǔn)操作，其主要目的包括引流尿液、擴(kuò)張輸尿管、預(yù)防輸尿管狹窄等，從而降低術(shù)后并發(fā)癥風(fēng)險并促進(jìn)患者康復(fù)。（剩余8672字）