修改的首尔国立大学结石复杂度评分系统,用于预测体外冲击波后的无石头状态
Tipatai Yodplob1, Chinnakhet Ketsuwan2
1Department of Surgery, Ranong Hospital, Ranong, Thailand.
Research and reports in urology
|August 13, 2025
概括
首尔国立大学结石复杂度 (S-ReSC-R) 评分有效预测体外冲击波石术 (ESWL) 后的无石头结果. 这种经过验证的评分系统有助于对ESWL患者进行选择,改善治疗计划.
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:
- 首尔国立大学的结石复杂度 (S-ReSC-R) 评分系统在预测逆行性内外科手术和皮肤穿透性腎石切除术的无石头状态方面表现出有效性.
- 准确的手术前评估对于优化尿病治疗结果至关重要.
研究的目的:
- 验证S-ReSC-R评分系统用于体外冲击波石 (ESWL).
- 为了比较S-ReSC-R得分与ESWL患者的Triple D得分的预测性能.
主要方法:
- 在2019年至2021年期间接受ESWL的297名患者的回顾性分析.
- 根据石头位置号码计算S-ReSC-R得分;评估ESWL后的无石头状态.
- 接收机操作员特征 (ROC) 曲线分析以确定切断值并比较预测准确性.
主要成果:
- 在一次ESWL课程后,整体无石头率为60.5%.
- 较低的S-ReSC-R得分与较高的无结石率相关 (72.4%的低得分与高得分的10.5%相比).
- 对于ESWL成功,S-ReSC-R得分 (AUC 0.767) 与Triple D得分 (AUC 0.694) 相比,具有更高的预测价值.
结论:
- 在ESWL之后,S-ReSC-R评分系统是预测无石头状态的可靠工具.
- 该研究建议使用S-ReSC-R得分进行ESWL患者的手术前评估.
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