S.T.O.N.E.评分系统预测经皮肾镜取石清石率和术后并发症的分析

doi:10.19558/j.cnki.10-1020/r.2019.02.008

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摘要 目的：探讨S.T.O.N.E.肾结石评分系统及各评分因素对预测经皮肾镜碎石取石术后结石清除率及手术并发症的效果。方法：对符合纳入条件的146例经皮肾镜碎石取石术患者进行S.T.O.N.E.评分,统计术后结石清除率及手术并发症,分析S.T.O.N.E.评分系统及各评分因素与术后结石清除率及手术并发症的相关性。结果：146例患者结石清除率为73.97%。无残石组和有残石组间S.T.O.N.E.肾结石评分分别为（7.78±1.35）分和（9.03±1.30）分,两组间差异有统计学意义（P<0.001）。两组间S评分和N评分差异有统计学意义（P<0.001）,T、O、E评分差异无统计学意义(P>0.05)。但皮肾通道长度（T）实际测量值、梗阻水平（O）实际分类的组间差异有统计学意义(P<0.05)。50例患者出现术后并发症。无并发症组和有并发症组间S.T.O.N.E.评分分别为（8.09±1.41）和（8.12±1.51）分,未见显著差异(P=0.917)。结论：S.T.O.N.E.肾结石评分系统可有效预测结石清除率,S、N评分的预测价值最高,T、O评分掩盖了实际存在的差异。该评分系统对预测术后并发症价值有限。

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	苑海春
	种铁
	薛玉泉
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	吴君

关键词 ：肾结石, 经皮肾镜碎石取石术, 结石清除率, S.T.O.N.E评分系统, 并发症

Abstract：Objective： To investigate the efficacy of S.T.O.N.E. nephrolithometry scoring system in predicting stone clearance rate and complications after percutaneous nephrolithotomy. Methods: 146 eligible patients who underwent percutaneous nephrolithomy were scored according to S.T.O.N.E. nephrolithometry scoring system. The postoprative stone clearance rate and complcations were counted. The correlations between the S.T.O.N.E. nephrolithometry scoring system and stone clearance rate as well as complication rate were analyzed. Results: The stone clearance rate was 73.97% in 146 patients. The S.T.O.N.E. score in no residual stone and residual stone groups was (7.78±1.35) and (9.03±1.30) respectively, with the difference being statistically significant between the two groups (P<0.001). There was significant difference in S and N scores between two groups (P<0.001). There was no significant difference in T, O and E scores between two groups (P>0.05). However, there were significant differences in tract length (T) and obstruction levels (O) between two groups (P<0.05). Complications occurred in 50 patients. The S.T.O.N.E. score in no complication and complications groups was (8.09±1.41) and (8.12±1.51) respectively, with no significant differene (P=0.917). Conclusions: The S.T.O.N.E. nephrolithometry scoring system can predict effectively the stone clearance rate. The S and N scores have the higher predictive value, but the T and O scores conceal the difference in tract length and obstruction levels between two groups. The value in predicting complications according to S.T.O.N.E. nephrolithometry scoring system is limited.

Key words： nephrolithiasis percutaneous nephrolithotomy stone free rate S.T.O.N.E. nephrolithometry scoring system complications

收稿日期: 2018-10-07

ZTFLH:

R692.4

通讯作者: 种铁,chongtie@126.com

引用本文:

苑海春, 种铁, 薛玉泉, 焦杨, 吴君. S.T.O.N.E.评分系统预测经皮肾镜取石清石率和术后并发症的分析[J]. 微创泌尿外科杂志, 2019, 8(2): 108-113.
YUAN Haichun, CHONG Tie, XUE Yuquan, JIAO Yang, WU Jun. Analysis of S.T.O.N.E. scoring system for predicting stone clear rate and complications after percutaneous nephrolithotomy. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2019, 8(2): 108-113.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1491.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2019/V8/I2/108

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