胞分级系统的验证:比较形成酸盐和阿帕石的患者
Michael S Borofsky1, Nadya York2, Daniel L Gillen3
1Department of Urology, University of Minnesota, Minneapolis, Minnesota, USA.
Journal of endourology
|March 4, 2026
概括
一个新的分级系统可靠地量化结石在手术期间的状差异. 这种工具有助于区分氧化和阿帕石形成物,改善患者的护理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
背景情况:
- 在形成石的患者中观察到囊病理.
- 管道堵塞和兰德尔斑块与结石的形成和复发有关.
- 建议在手术内进行评估时采用半定量分级系统.
研究的目的:
- 评估皮的半定量分级系统的可复制性.
- 在手术室内进行内镜石头切除时评估其实用性.
主要方法:
- 分析了来自12名患者 (6名氧酸盐 [CaOx]和6名阿帕 [CaP]结石形成者) 的囊片的内镜视频剪辑.
- 视频被旋转和翻转,并由4名盲人分级人员评估管道堵塞,乳头穴,轮损失和兰德尔斑块.
- 通过使用kappa统计数据评估了课内和课际可重复性.
主要成果:
- 对于管道堵塞 (kappa=0.84) 发现了高一致性,对于兰德尔斑块 (kappa=0.68) 发现了良好的一致性.
- 观察到乳头孔 (kappa=0.56),和最弱的轮损失 (kappa=0.40) 中适度的协议.
- 酸盐石材形成者显示出更高的堵塞,插孔和轮损失的得分,而酸盐石材形成者则具有更高的兰达尔斑块得分.
结论:
- 在氧沙酸盐和阿帕石形成者之间,乳头的外观不同.
- 拟议的分级系统可靠地量化了这些差异.
- 该系统表现出良好的可重现性,并且适合将手术室整合到患者护理中.
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