积极监测对博斯尼亚克III和IV瘤神经计分的影响
Roberto Dias Machado1, Leonardo Bernardes De Amaro2, Alessandro Prudente2,3
1Hospital de Amor de Barretos - Fundação Pio XII, São Paulo, SP, Brazil.
International journal of general medicine
|August 27, 2025
概括
积极监测 (AS) 是安全的复杂囊 (CRC) 波斯尼亚克III和IV. 一些CRC在AS期间显示复杂性增加,影响了手术规划.
科学领域:
- 泌尿外科
- 放射学
- 癌症学
背景情况:
- 对于小小的质,建立了积极监测 (AS).
- 波士尼亚 (Bk) III和IV分类的复杂囊 (CRC) 中AS的作用不太清楚.
- 检分数 (s-RENAL,s-PADUA) 评估病变的复杂性.
研究的目的:
- 在AS期间评估Bk III和IVCR的脏测量得分 (s-RENAL,s-PADUA) 的变化.
- 评估这些变化对手术复杂性的潜在影响.
- 确定特定CRC的安全性和可行性
主要方法:
- 在95名患者中对101名CRC进行了回顾性多中心观察性研究.
- 在基线和使用CT和MRI进行至少2年的随访后评估的脏测量得分.
- 统计分析包括基平方和边际同质性测试.
主要成果:
- 平均随访时间为4. 2年;病变大小从2. 77厘米增加到3. 0厘米.
- 复杂度得分在4% (s-RENAL) 和5% (s-PADUA) 的病例中增加.
- 44. 5% 的CRC增长, 36. 6% 的CRC保持稳定, 18. 8% 的CRC大小减少; Bk IV囊的增长趋势更大.
结论:
- 积极监测是选择BkIII和IVCR的可行和安全的策略.
- 在AS下,CRC的一个子集显示了检复杂性的增加,可能会影响手术规划.
- 神经测量得分的演变应该为AS和早期手术之间的决定提供信息.
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