在接受脏瘤脏节约手术的儿科患者中使用RENAL神经测量:一个单一机构队列
Sameer Mittal1, Christopher Long1, Alexander El-Ali2
1Children's Hospital of Philadelphia, Division of Urology, 3401 Civic Center Blvd, Philadelphia, PA 19104, USA; Perelman School of Medicine at the University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA 19104, USA.
Journal of pediatric urology
|July 15, 2023
概括
在患有脏瘤的儿童中,脏神经测量得分是可重现的,在得分者中显示了中等至良好的一致性. 较高的分数与更长的住院时间相关,但并发症的增加没有.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 手术瘤学手术瘤学
- 放射学 放射学是一门学科.
背景情况:
- 脏神经测量得分评估了成人脏瘤的复杂性,这些瘤经过了部分切除术 (PN).
- 它在儿科瘤中的应用和可再生性尚未得到充分证实.
- 了解得分与结果的相关性对于儿科手术规划至关重要.
研究的目的:
- 为了评估儿科脏瘤中RENAL神经测量得分的评价者间一致性.
- 为了确定脏神经测量得分与儿童的外科/术后结果之间的相关性.
- 评估这个评分系统在儿科队列中的可复制性.
主要方法:
- 针对质进行PN的儿科患者 (2006-2019) 的回顾性审查.
- 在手术前的CT/MR成像,由儿科放射科医生和泌尿科医生使用RENAL神经测量指标进行得分.
- 统计分析包括Fleiss' kappa和ICC的同意;基于得分值的比较分析.
主要成果:
- 在RENAL神经测量得分域中观察到中等到良好的评价者间一致性.
- 最低的一致性是发现前部与后部瘤位置.
- 较高的分数 (≥9) 与手术时间和停留时间 (LOS) 的增加有关,但没有30天的并发症.
结论:
- 脏神经测量得分可以在儿科脏瘤中复制.
- 较高的分数与增加的手术时间和LOS相关,但不一定是并发症.
- 对于未来的儿科脏瘤研究,建议对脏测量得分进行标准化报告.
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