尿道壁厚度作为石头冲击的独立预测器 - - 一个前性,单中心的观察性研究
F B Daniel1, V Palaniyandi, N Kumaresan
1Department of Urology, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, Tamil Nadu, India.
Nigerian journal of clinical practice
|March 4, 2025
概括
高尿路壁厚度 (UWT) 表明受冲击尿路结石的风险更大,导致更长的程序和减少石头清除. 这一发现有助于泌尿科医生更有效地预测和管理石头撞击.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗成像医学成像
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 尿道结石冲击给泌尿科医生带来了手术上的挑战.
- 识别冲击性尿路结石的术前指标有限.
研究的目的:
- 评估尿道壁厚度 (UWT) 作为手术内尿道石块冲击的独立预测因素.
- 为了确定与冲击相关的患者和石头相关的因素.
- 评估石头冲击对手术结果的影响.
主要方法:
- 这是一项针对83名接受尿尿透镜性石透症的患者的前性研究.
- 术前非对比计算机断层扫描用于UWT测量.
- 单变量,多变量和ROC曲线分析以确定预测因素和最佳切断值.
主要成果:
- 在55.42%的患者中,石头受到了影响.
- 尿道壁厚度 (UWT) 和石块面积是冲击的独立预测指标 (UWT切线:3.45毫米;石块面积切线:28.62毫米2).
- 冲击与程序持续时间的增加和石头清除率的降低相关.
结论:
- 升高的UWT与尿管结石冲击的更高风险显著相关.
- 尿道结石冲击导致延长手术时间和减少结石清除.
- UWT作为一个有价值的手术前指标,用于预测石头撞击.
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