预测手术决策和术后功能使用RENAL脏计分数局部质:一个前性研究
Ashraf M Abdel Aal1, Islam Nouh1, Mohamed Abdel Azeem1
1Department of Urology, Benha Faculty of Medicine, Benha University, Benha, Egypt.
Urology annals
|September 4, 2023
概括
脏神经测量得分 (RNS) 能够有效预测脏瘤患者的手术决策和功能下降. 较高的RNS与激进切除术转换相关,并且在节手术后有较大的eGFR降低.
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.
- 在瘤学瘤学.
背景情况:
- 局部脏瘤需要仔细的手术规划,以平衡瘤控制和功能保存.
- 脏瘤计分 (RENAL nephrometry score,简称RNS) 是一种用来分类脏瘤复杂性的工具.
- 对于手术后结局和功能RNS的预测价值需要进一步评估.
研究的目的:
- 评估脏神经测量得分 (RNS) 在预测局部脏瘤手术决策中的价值.
- 评估RNS预测手术并发症和术后功能的能力.
- 确定RNS是否可以指导在节手术 (NSS) 和激进切除术 (RN) 之间的选择.
主要方法:
- 84名患有单独,固体,增强质的患者的回顾性分析.
- 使用放射学数据计算脏神经测量得分 (RNS).
- 主要终点:从NSS转换为RN. 二级终点:手术后估计的球过率 (eGFR) 的变化.
主要成果:
- 总共分析了84例病例;67例接受了NSS,17例转换为RN.
- 与NSS (6.2) 相比,RN (9.7) 的中位数RNS显著更高 (P < 0.001).
- 较高的RNS与增加的并发症率以及NSS后eGFR的更大百分比下降相关,这与温暖缺血时间有关.
结论:
- 脏神经测量得分 (RNS) 是转化为激进神经切除术 (RN) 的重要预测指标.
- 在节脏手术 (NSS) 后,RNS可以预测估计膜过率 (eGFR) 的百分比下降.
- 需要进一步的研究和长期跟踪,才能充分确定RNS的临床实用性.
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