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后尿道镜损伤尺度用于确定尿道壁损伤,不太容易使用

R Polo¹, À Canós-Nebot², J P Caballero-Romeu²

¹Servicio de Urología, Hospital Marina Baixa, Denia, Valencia, Spain.

Actas urologicas espanolas

|October 13, 2023

概括

尿道镜镜术后损伤量表 (PULS) 在泌尿科医生中达成较低的共识,这表明它可能不是评估尿道镜镜术后尿道损伤 (URS) 的简单工具. 可能需要进一步培训.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术创新在外科创新.
医疗器械评估医疗器械评估

背景情况:

尿道透视 (URS) 是治疗尿道结石的常见手术.
在URS后评估尿路损伤的标准化方法对于患者安全和结果预测至关重要.
尿道透镜后损伤量表 (PULS) 是为分级尿道损伤而开发的,但其临床实用性需要验证.

研究的目的:

为了分析后尿道镜损伤量表 (PULS) 的评价者间一致性.
通过使用可靠的统计数据,评估PULS在临床实践中的应用后果.
评估PULS在尿管镜检查后分类尿管病变中的可靠性.

主要方法:

在猪模型中进行了14次尿路透镜 (URS) 和14次微型URS手术.
程序的视频录制和随后的解剖病理学分析进行.
16名泌尿科医生和4名住院医生使用PULS评估尿道病变,通过多个统计系数评估协议.

主要成果:

对PULS的评级者之间的总体一致性很低,为11.1%.
统计系数表明低至非常低的同意,在经验较少的评级者中观察到更高的同意.
很大一部分 (50%) 的评级者不同意多数人的评价.

结论:

这项研究表明,PULS的评分器间可靠性很差.
这些发现表明,PULS可能不是一个简单的尺度,而且可能有一个的学习曲线.
低的一致性和临床病理相关性质疑PULS在常规临床实践中的当前实用性.

关键词:

一致性一致性一致性一致性 (Concordancia) 是一个符号.这是一个 Escala Escala.尿道外损伤尿道外损伤微尿路透镜镜检查微尿路透镜检查微尿路透镜检查是微尿路透镜检查的一种.后尿道镜损伤量表后尿道镜损伤量表尺度尺度是一个尺度.尿道损伤是尿道损伤.尿路透镜检查尿路透镜检查尿路透镜检查是指尿路透镜检查.

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