预测部迷你皮肤性利切除术中的并发症:E-PASS评分系统的作用
Feyzi Sinan Erdal1, Sedat Cakmak1, Caglar Dizdaroglu1
1Department of Urology, Haseki Training and Research Hospital, Istanbul, Turkey.
Journal of endourology
|February 16, 2026
概括
生理能力和外科应激 (E-PASS) 评分的估计有效地预测了卧卧式迷你皮肤瘤切除术 (mPNL) 后的并发症. 高E-PASS分数表明风险增加,指导手术决策以获得更好的患者结果.
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.
- 手术风险评估手术风险评估
背景情况:
- 部迷你透皮瘤切除术 (mPNL) 是对结石的常见手术.
- 预测术后并发症对于患者管理和手术规划至关重要.
研究的目的:
- 评估体力学能力和外科应激估计 (E-PASS) 评分系统的预测准确性,以评估卧底mPNL的患者手术后并发症.
- 确定E-PASS是否可以作为识别高风险患者的客观工具.
主要方法:
- 追溯分析了224名接受卧底mPNL.L的患者.
- 并发症使用修改后的Clavien-Dindo系统进行分类.
- 评估了E-PASS得分和临床参数,以确定与并发症的相关性.
主要成果:
- 术后并发症发生在13.8%的患者中.
- 高级美国麻醉学会和东部合作性瘤学集团的表现得分与并发症有关.
- 来自E-PASS的综合风险评分 (CRS) 是并发症的独立预测指标 (OR:7.481,p=0.001).
- 接收机运行特征曲线分析显示,CRS的曲线下面面积为0.862.
结论:
- 该E-PASS评分系统准确地预测了卧式mPNL后的并发症.
- 一个0.862的CRS值表明严重并发症的风险显著增加.
- 对于具有高CRS值的患者,建议考虑更少的侵入性手术选择.
相关概念视频
Urinary Tract Calculi VI: Surgical Management
588
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
588
Cardiac Catheterization I: Pre-Procedure Overview
1.6K
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
1.6K
Urinary Tract Calculi V: Nursing Management
330
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
330
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
1.8K
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
1.8K


