四重D和其它石测量评分系统在皮肤石切除术后预测无石头状态的比较
Ibrahim Hacibey1, Gökhan Çeker1, Ismail Ulus2
1Department of Urology, Basaksehir Çam and Sakura City Hospital, Istanbul, Turkey.
概括
四倍D得分显示,预测皮肤透腎石切除术 (PCNL) 后石切除成功的可能性很大. 虽然它不是一个独立的预测器,但在初始分析中表现良好,并且易于使用.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎石病的管理方法
- 手术预测结果的预测
背景情况:
- 透皮石切除术 (PCNL) 是石去除的一个关键手术.
- 准确预测无石头状态对于优化PCNL结果至关重要.
- 现有的石测量系统在预测准确性方面存在局限性.
研究的目的:
- 评估PCNL后无石头状态的新型四倍D评分的预测性能.
- 为了比较四重D得分与已建立的系统:Guy的石头得分,石头石测量和CROES nomogram.
主要方法:
- 对451名接受PCNL治疗的患者进行了回顾性分析.
- 使用手术前的石头体积,密度,皮肤与石头的距离和位置计算四重D得分.
- 使用单变量/多变量逻辑回归和ROC分析的评分系统的比较.
主要成果:
- 整体没有石头的比率为66.7%.
- 在单变量分析中,较高的四倍D分数与无石头状态 (OR 2.01) 的可能性增加相关.
- 四重D的得分超过了Guy和STONE的得分,尽管CROES的AUC最高. 只有CROES在多变量分析中是一个独立的预测指标.
结论:
- 四倍D得分显示出有前途的预测能力,特别是在单变量分析中.
- 它的简单性和对标准CT成像的依赖使其成为潜在的实用风险分层工具.
- 建议进行进一步的前性多中心验证,以确认其在PCNL中的临床实用性.
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