预测透皮石切除术结果和柔性尿路透镜结果,使用石测量评分系统
Qiushi He1,2,3, Qingfeng Huang1,2,3, Bingbing Hou1,2,3
1Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
International urology and nephrology
|December 16, 2023
概括
在S.T.O.N.E得分最好地预测皮肤利切除术 (PCNL) 后的无石头状态,而Guy的得分预测并发症. 对于柔性尿道透视 (f-URS),R.I.R.S得分是无石头状态的最高预测指标.
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.
- 外科手术的结果
背景情况:
- 结石是泌尿外科紧急情况的重要原因之一.
- 皮肤穿神经切除术 (PCNL) 和柔性尿道透视术 (f-URS) 是常见的治疗方法.
- 预测评分系统可以帮助管理治疗结果.
研究的目的:
- 为了评估五个评分系统的预测准确性.
- 为了评估PCNL和f-URS后无石头状态的预测.
- 为了确定这些手术后术后并发症的预测.
主要方法:
- 对312名结石患者的回顾性分析.
- 应用多变量逻辑回归和ROC曲线.
- 对无石头率和并发症的评分系统的评估.
主要成果:
- 对于PCNL:S.T.O.N.E得分预测了没有石头的状态 (高于ipsilateral脏手术史). 男人的分数预测了1级并发症;糖尿病史预测了2级.
- 对于f-URS:修改后的S-ReSC,RUSS和R.I.R.S得分预测了没有石头的状态,R.I.R.S是最强的. 异常的功能预测了2级并发症.
- 没有分数系统有效预测f-URS手术后并发症.
结论:
- 在PCNL之后,S.T.O.N.E评分是预测无石头状态的最有效方法.
- 男人的分数是最有效的预测PCNL术后并发症.
- 在f-URS之后,R.I.R.S评分是最有效的预测无石头状态;没有系统预测f-URS并发症.
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