预测基于四重D和三重D分数的无石头状态,在体外冲击波石术后,并与广谱人群进行比较
1Urology, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey.
Aktuelle Urologie
|March 13, 2024
概括
四倍D得分在预测结石的冲击波石术 (SWL) 成功结果方面表现出与三倍D得分相似的有效性. 这一发现有助于优化接受SWL程序的患者的治疗选择.
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.
- 医疗成像医学成像
背景情况:
- 冲击波石 (SWL) 是治疗结石的常见程序.
- 预测得分系统对于优化SWL成功率至关重要.
- 三重D分数 (TrD-S) 和四重D分数 (QrD-S) 用于评估SWL结果.
研究的目的:
- 为了比较SWL成功的Triple-D得分和Quadruple-D得分的预测准确性.
- 评估这些评分系统在临床环境中的有效性.
主要方法:
- 追溯对328名接受SWL治疗的患者进行骨和骨石 (10-15毫米) 的回顾.
- 根据成像,患者被分类为没有石头或残留.
- 分析了包括石块大小 (圆形石块体积),密度,皮肤距离和位置在内的因素,以及TrD-S和QrD-S值.
主要成果:
- 219名患者 (66.8%) 没有结石,而109名患者 (33.2%) 有残留结石.
- 对TrD-S和QrD-S的曲线下的面积 (AUC) 值分别为0.65和0.67 (p<0.001).
- 截止值为TrD-S的1.5和QrD-S的2.5的截止值.
结论:
- 在预测SWL结果方面,四重D得分与三重D得分相比,至少取得了同等的成功.
- 这两种评分系统都为SWL成功预测提供了宝贵的见解.
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