水缩的区域是受影响的尿路结石的有用预测因素
Yuya Iwahashi1, Yasuo Kohjimoto1, Ryusuke Deguchi1
1Department of Urology, Wakayama Medical University, 811-1, Kimiidera, Wakayama City, Wakayama, 641-0012, Japan.
Urolithiasis
|April 2, 2024
概括
在手术前预测受影响的尿路结石至关重要. 一种定量测量方法,水缩的区域,比胎儿泌尿学会 (Society for Fetal Urology) 的评级更准确地预测受影响的石头.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 对于受冲击的尿道结石而言,尿道透视性石会带来外科手术挑战.
- 预先预测受影响的石头对于治疗规划至关重要.
- 目前的水解分级 (胎儿泌尿学会分级) 是定性的,可能缺乏预测准确性.
研究的目的:
- 为了评估受冲击的尿路结石的水龙的定量区域的预测准确性.
- 为了比较水缩区域与胎儿泌尿学会等级的预测性能.
主要方法:
- 针对尿路结石进行尿路透镜性石治疗的160名患者的回顾性分析 (2014年1月至2022年4月).
- 被冲击的石头被定义为固定在尿路壁上,无法通过操纵或水压移动.
- 患者特征的比较,包括石块大小,尿管壁厚度,胎儿泌尿学会等级,骨宽度和水缩的区域.
主要成果:
- 54%的患者有受影响的石头.
- 水裂区域 (AUC 0.781) 的预测值明显高于胎儿泌尿学会 (AUC 0.676) 的预测值 (P < 0.01).
- 多变量分析确定了更大的水缩面积和更厚的尿路壁作为冲击石的独立预测因素 (P < 0.01).
结论:
- 水缩的定量区域比胎儿泌尿病学协会的等级更准确地预测受影响的尿路结石.
- 尿道壁厚度也是一个重要的预测因素.
- 这些定量测量可以帮助进行尿路透镜性石症的手术前评估和治疗选择.
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