石头评分系统用于预测皮肤穿透性瘤切除中的并发症:对文献的系统审查
Giorgio Mazzon1, Simon Choong2, Antonio Celia1
1Department of Urology, AULSS7 Pedemontana, San Bassiano Hospital, Bassano Del Grappa, Italy.
Asian journal of urology
|August 4, 2023
概括
神经光度计分谱可以预测皮肤神经切除术 (PCNL) 的结果,但有局限性. 为了在PCNL中准确预测并发症,需要对这些工具进行更严格的验证.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 外科手术的结果
背景情况:
- 穿皮瘤切除术 (PCNL) 是治疗大型上尿路结石的主要治疗方法.
- 现有的骨测量诺米图旨在预测手术结果,但在估计并发症方面存在不确定性.
研究的目的:
- 系统地审查现有的石计学名图,以预测PCNL手术后并发症.
- 评估既定分数 (Guy's,S.T.O.N.E.,CROES,S-ReSC) 和新设计的名ograms与PCNL并发症的相关性.
主要方法:
- 对PubMed和Web of Science数据库 (2010-2021) 的系统审查.
- 包括英语研究,包括≥100例评估成年PCNL患者的诺姆图和术后并发症的病例.
- 分析传统和新设计的诺姆图,以预测并发症.
主要成果:
- 包括18篇涉及7316名患者的论文;14篇是回顾性单中心研究.
- 男人的石头得分,S.T.O.N.E.,CROES和S-ReSC得分显示了与并发症的不同相关性.
- 新设计的诺姆图集中于特定的并发症 (感染,血栓栓塞事件,尿液泄漏),但缺乏外部验证.
结论:
- 关于PCNL名录的公布数据是矛盾的,许多最近的工具缺乏外部验证,并且基于小队列.
- 研究之间的异质性需要更严格的验证,使用更大,潜在的患者系列.
- 未来的研究应该比较不同的nomogram工具,以提高预测PCNL并发症的准确性.
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