使用RIRS评分系统与Resorlu Unsal石头评分 (RUSS) 预测逆行性内外科手术后的石头自由率
Basheer N Elmohamady1, Mahmoud M Farag1, Hamouda W Sherif2
1Urology Department, Benha Faculty of Medicine, Benha University, Benha, Egypt.
Arab journal of urology
|March 14, 2024
概括
在结石手术 (RIRS) 后,RIRS评分系统准确地预测了无结石率,其表现优于RUSS系统. RIRS是成功结果的重要预测指标.
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.
- 医疗器械技术 医疗器械技术
背景情况:
- 结石对健康构成重大挑战,需要有效的手术干预.
- 逆行性内手术 (RIRS) 是对结石的常见治疗方法.
- 预测工具对于优化RIRS手术规划和结果至关重要.
研究的目的:
- 评估RIRS评分系统和脏泌尿学评分系统 (RUSS) 在RIRS后无结石率 (SFR) 的预测准确性.
- 为了比较RIRS和RUSS在预测成功RIRS结果方面的表现.
主要方法:
- 一项前性研究,涉及171名接受结石RIRS治疗的患者.
- 使用RIRS和RUSS评分系统来评估程序的难度.
- 采用接收器运行特征 (ROC) 分析来确定预测能力 (AUC,灵敏度,特异性).
- 多变量逻辑回归分析了评分系统和SFR之间的关联.
主要成果:
- RIRS评分系统显示,曲线下面积 (AUC) 值为0.868 (P < 0.001),灵敏度为72%,特异性为93.7%.
- 该RUSS得分显示非显著的AUC为0.480 (P = 0.660),表明预测能力差.
- 即使调整了患者人口统计和外科病史,RIRS得分也是SFR的重要预测指标.
结论:
- 与RUSS相比,RIRS评分系统对RIRS之后的SFR具有更高的预测能力.
- 在接受结石RIRS治疗的患者中,RIRS是预测无结石结果的宝贵工具.
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