如何估计石头体积及其在石头外科手术中的使用:一个全面的审查
F Panthier1, S Kutchukian2, H Ducousso3
1Grupo de Investigación Clínica en Litiasis Urinaria, Hospital Tenon, Paris, France; Servicio de Urología, Asistencia Pública Hospitales de París, Hospital Tenon, Universidad de La Sorbona, Paris, France.
Actas urologicas espanolas
|September 1, 2023
概括
石材体积 (SV) 估计是可行的,并且可能更好地代表石材负担而不是直径. 自动化SV测量对于尿道透视 (URS) 结果更精确,但其在所有治疗方法中的优越性需要进一步研究.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗成像医学成像
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 目前的尿病治疗指南依赖于累积石块直径.
- 石块体积 (SV) 是用于估计石块负荷的新度量.
- 本综述考察了SV测量方法及其临床应用.
研究的目的:
- 审查评估石材体积 (SV) 的方法.
- 评估SV在指导尿病治疗决策中的有用性.
- 为了将SV与传统直径测量进行比较.
主要方法:
- 对Embase,Cochrane和PubMed数据库进行全面的文献搜索 (2022年12月).
- 纳入标准:描述与SV相关的SV测量或无结石率 (SFR) 的研究.
- 数据提取和质量评估由两位独立审查员进行.
主要成果:
- 包括28项研究,使用各种SV测量技术.
- 自动化SV测量显示了比计算的体积更高的精度和更低的观察者之间的变化.
- 对于石头>20毫米的尿路透镜 (URS),SV比直径测量更能预测SFR.
结论:
- 石头体积估计,手动或自动,提供了更好的石头负载的表示.
- 在用URS治疗的大石头中,SV似乎高于直径来预测SFR.
- 需要进一步的研究来证实SV在所有石材负担和处理方式中的普遍优势.
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