石头体积而不是最大石头直径:来自国际调查调查的结果
Frédéric Panthier1,2,3,4,5, Eduarda Alvarez1,6, Vineet Gauhar3,7
1Department of Urology, Westmoreland Street Hospital, UCLH NHS Foundation Trust, London, UK.
BJU international
|February 28, 2025
概括
泌尿科医生更喜欢石头体积 (SV) 来评估石头负担而不是最大石头直径 (MSD). 然而,目前的直观估计是不够的,突出显示在临床实践中需要可访问的SV测量工具.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌学 在内分泌学.
- 医疗成像医学成像
背景情况:
- 目前用于评估结石负担的国际指南依赖于最大石径 (MSD).
- 石块体积 (SV) 被认为是石头负荷的更准确的衡量标准,但尚未成为标准实践.
- 泌尿科医生对石头负担评估的看法和当前做法需要评估.
研究的目的:
- 评估泌尿科医生对石头体积 (SV) 的看法,以评估石头负担.
- 在临床实践中比较SV与MSD的偏好和准确性.
- 调查对工具的需求,以促进SV测量.
主要方法:
- 一项包含22个多选题的在线调查被分发给全球的泌尿科医生.
- 这项调查评估了临床实践,石头负担报告,石头化方法和石头体积的直观估计.
- 还调查了对 SV 的兴趣和对测量工具的了解.
主要成果:
- 虽然最大石径 (MSD) 首选用于手术前估计 (67%),但显著多数 (64%) 表示对未来的SV工具非常感兴趣.
- 随着石头复杂度的增加,直观的SV估计的准确性下降.
- 内分泌学专家对采用SV更感兴趣,但他们的估计能力与非专家相似.
结论:
- 泌尿科医生承认,与MSD相比,石头体积 (SV) 为石头负担提供了更好的估计.
- 基于直径的SV直观估计是不可靠的,表明需要实际的SV测量工具.
- 开发和可访问的SV估计工具对于常规临床采用至关重要.
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