基于USSQ问卷的患者报告结局和临床干预对改善上尿路结石患者生活质量的研究

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【中图分类号】R691.4【文献标志码】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

几十年来，输尿管支架一直被广泛应用于维持输尿管通畅，在经皮肾镜和输尿管镜碎石术治疗尿路结石后，常规放置输尿管支架已成为标准操作，其主要目的包括引流尿液、扩张输尿管、预防输尿管狭窄等，从而降低术后并发症风险并促进患者康复。（剩余8672字）