伊藤的名图和T.O.HO.HO的外部验证 在灵活的尿尿管透镜中使用分数系统
Süleyman Bulut1, Sedat Yahsi2, Kazım Ceviz2
1Department of Urology, Ankara City Hospital, Ankara, Türkiye, Turkey. suleyman.bulut3@saglik.gov.tr.
BMC urology
|September 16, 2024
概括
这项研究评估了TOHO的T.O.HO. 评分系统和伊托的诺图谱,以预测柔性尿路管镜术 (fURS) 后的无石头率. 这两种评分系统都显示出治疗成功的术前评估的前景.
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) 是一種醫學專業.
- 医疗成像医学成像
背景情况:
- 灵活的尿尿管镜 (fURS) 是治疗结石的常见手术.
- 在手术前预测无石头状态 (SFS) 可以优化治疗计划和患者咨询.
- 目前对fURS结果的预测工具需要进一步验证.
研究的目的:
- 为了评估T.O.HO.的有效性. (身高,占有病变,霍恩斯菲尔德单位评价) 评分系统和伊托的诺米图在预测SFS后fURS.
- 为了确定影响SFS的关键石材特征,在FURS之后.
主要方法:
- 对484名接受fURS治疗的患者进行了回顾性分析.
- 患者数据包括人口统计学,并发症,石头特征 (长度,密度,数量,位置) 和水.
- 多变量逻辑回归被用来分析SFS的预测因素.
主要成果:
- 石头的长度,石头的数量和下极的位置是SFS的重要预测因素.
- 伊藤的名图实现了0.792的AUC (截止点13.5分),而T.O.HO.的AUC为0.792 (截止点13.5分),而T.O.HO.的AUC为0.792. 这一分数的AUC为0.744 (截止值6.5分).
结论:
- 这个T.O.HO.的T.O.HO. 评分系统和伊藤的名图是预测SFS后fURS的有价值的工具.
- 这些评分系统为接受fURS的患者的手术前评估和规划提供了有希望的方法.
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