發(fā)布時(shí)間：2018-10-11 11:08

【摘要】：目的探討S.T.O.N.E.腎結(jié)石評(píng)分系統(tǒng)評(píng)估經(jīng)皮腎鏡取石術(shù)(PCNL)后結(jié)石清除率及圍手術(shù)期情況的價(jià)值。方法 222例行PCNL的腎結(jié)石患者分為結(jié)石清除組及結(jié)石殘留組,分析S.T.O.N.E.腎結(jié)石評(píng)分系統(tǒng)各指標(biāo)與術(shù)后結(jié)石清除率、術(shù)中估計(jì)失血量、術(shù)后住院天數(shù)、術(shù)后并發(fā)癥的關(guān)系。結(jié)果 222例腎結(jié)石患者S.T.O.N.E.評(píng)分為(8.26±1.63)分,結(jié)石清除率為69.8%(155/222),56例(25.2%)出現(xiàn)術(shù)后并發(fā)癥。結(jié)石清除組的S.T.O.N.E.評(píng)分為(7.74±1.38)分,結(jié)石殘留組為(9.45±1.57)分,兩組比較,t=-7.707,P=0.000。S.T.O.N.E.評(píng)分與術(shù)后結(jié)石清除率相關(guān)(P0.01),但與術(shù)后并發(fā)癥、術(shù)中估計(jì)失血量及術(shù)后住院天數(shù)均不相關(guān)(P均0.05)。結(jié)論 S.T.O.N.E.評(píng)分系統(tǒng)可以預(yù)測(cè)PCNL術(shù)后結(jié)石清除狀態(tài),不能評(píng)估圍術(shù)期情況。
[Abstract]:Objective to study S.T.O.N.E. The value of renal calculi scoring system in evaluating stone clearance rate and perioperative period after percutaneous nephrolithotomy (PCNL). Methods 222 patients with PCNL were divided into two groups: stone removal group and residual stone group. S.T.O.N.E. The relationship between the indexes of renal stone scoring system and postoperative stone clearance rate, intraoperative blood loss, postoperative hospital stay and postoperative complications. Results in 222 patients with renal calculi, S.T.O.N.E. The score was (8.26 鹵1.63), the stone clearance rate was 69.8% (155 / 222), 56 cases (25.2%) had postoperative complications. S.T.O.N.E. in the stone removal group. The scores were (7.74 鹵1.38) and (9.45 鹵1.57) in the residual stone group. The score was correlated with postoperative stone clearance rate (P0.01), but not with postoperative complications, intraoperative estimated blood loss and postoperative hospital stay (P 0.05). Conclusion S.T.O.N.E. The scoring system can predict the state of stone clearance after PCNL, and can not evaluate the perioperative condition.
【作者單位】： 南方醫(yī)科大學(xué)南方醫(yī)院;
【分類(lèi)號(hào)】：R699.2
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本文編號(hào)：2263970