在逆行性内外科手术期间避免暴露于辐射;RIRSearch得分用于预测更长的光镜时间
Oktay Özman1, Fatih Şimşekoğlu2, Mehmet Fatih Şahin3
1Memorial Health Group, İstanbul Bahçelievler Hospital, Urology, İstanbul, Turkey. ozmanoktay@hotmail.com.
Urolithiasis
|December 4, 2025
概括
这项研究引入了RIRSearch评分,用于预测逆行性内外科手术 (RIRS) 期间的辐射暴露. 该分数有助于外科医生预测并最大限度地减少长期光镜时间,提高患者和工作人员的安全.
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
- 外科手术的安全性
背景情况:
- 在逆行性内外科手术 (RIRS) 期间,辐射暴露是令人担忧的.
- 预测手术内光学时间对于最小化辐射剂量至关重要.
- 预测光镜持续时间的现有方法是有限的.
研究的目的:
- 确定在RIRS期间暴露于辐射的术前和术后预测因素.
- 开发和验证一个评分系统 (RIRSearch Score) 来估计手术内光学时间.
主要方法:
- 分析了753名接受结石RIRS治疗的患者的数据.
- 顺序回归以确定与光镜持续时间相关的因素.
- 使用ROC分析和校准图表开发和验证RIRSearch评分.
主要成果:
- 六个因素独立地预测了更长的光镜时间:没有尿路支架,石头密度低,小石头负担,多个石头,尿路接入插入失败,和大使用.
- 该RIRSearch得分 (0-15) 显示出优异的区分能力 (AUC:0.901).
- 光镜评分≥10预测>120秒,灵敏度为87.5%,特异性为86.2%.
结论:
- 在RIRS之前,RIRSearch评分是预测长期辐射暴露的实用工具.
- 这种评分系统可以帮助外科医生优化光镜的使用,并提高职业安全.
- 实施RIRSearch评分可能会导致RIRS程序中的辐射剂量减少.
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