尿道结石冲击的内镜评估突出了内泌科医生之间定义的显著变化
Jared S Winoker1,2, Brendan Yi1, Robert Chang1,2
1Department of Urology, Lenox Hill Hospital/Northwell Health, New York, New York, USA.
Journal of endourology
|July 25, 2025
概括
外科医生在尿管石撞击严重程度上表现出显著的分歧. 对于严重受影响或不受影响的石头,一致性最高,突显出需要在泌尿病学中制定标准化定义.
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.
- 医学成像分析 医学成像分析
背景情况:
- 预测尿路结石撞击的先前方法缺乏黄金标准.
- 手术期间外科医生对石头撞击的估计是主观的,没有得到验证.
研究的目的:
- 评估外科医生的观点和估计尿道石块冲击的变化.
- 用视频目录来评估石头撞击的内部和内部协议.
主要方法:
- 13名受过奖学金培训的内分泌科医生评估了35个尿路透镜视频.
- 视频包括视觉检查,导线通道,和温和的范围推动.
- 外科医生使用连续 (0-9) 和分类 (无/轻度/中度/重度) 尺度来评估冲击率.
主要成果:
- 关于影响的强烈共识 (>70%) 仅在13/35个视频中发现.
- 对于"没有" (6/35) 和"严重" (7/35) 的影响,共识最高.
- 观察到显著的分歧,12/35视频在所有四个严重程度类别中都获得了投票.
结论:
- 在内分泌学家之间,在定义和分类泌尿道结石冲击方面存在很大差异.
- 需要标准化,客观的内镜标准来定义冲击.
- 一个三方分类系统可能提供一个更合适的方法来分组受冲击的石头.
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