逆行输尿管软镜碎石术治疗肾结石术后结石清除率相关预测模型研究进展

doi:10.19558/j.cnki.10-1020/r.2019.03.014

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摘要泌尿系结石微创治疗技术日益改善,逆行输尿管软镜碎石术(RIRS)已成为治疗肾结石的重要选择。由于其结石清除率的影响因素诸多,因此,术前如何根据结石情况对RIRS术后结果进行预测评估并选择合理的手术方式,从而提高RIRS疗效,降低并发症发生率成为目前研究的热点。虽然国外早就研究建立RUSS评分系统、改良S.T.O.N.E.评分系统、改良S-ReSC评分系统等术前量化预测模型,目前国内也有了相关的研究报道。近年来,不断有新的预测模型（如清石指数模型,SHA.LIN协和评分系统、RIRS评分系统,S.O.L.V.E.评分系统等）得以研究建立并逐步用于日常临床实践。现通过对当前几种主要的预测系统相关研究做一综述,阐述不同预测模型的临床应用情况,以期为今后的临床工作提供指导。

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关键词 ：输尿管软镜, 肾结石, 结石清除率, 评分系统

Abstract：With the improvement of minimally invasive treatment techniques for urinary calculi, retrograde intrarenal surgery (RIRS) has become an important choice for the treatment of kidney stones. However, because the stone free rate is affected by many factors, how to predict and evaluate the postoperative results of RIRS according to the stone condition before surgery and choose a reasonable surgical method, so as to improve the efficacy of RIRS and reduce the incidence of complications has become the current research focus. Although foreign countries have long studied the establishment of RUSS scoring system, Modified S.T.O.N.E. scoring system, Modified s-resc scoring system and other preoperative quantitative prediction models, there are still relevant research reports in China. And in recent years, there are continuously new prediction models (such as qingshi index model, SHA). LIN concordant scoring system, R.I.R.S. In this paper, by summarizing the relevant researches on several current prediction systems, the clinical applications of different prediction models are expounded, so as to provide guidance for future clinical work.

Key words： flexible ureteroscopy renal stone stone free rate scoring system

收稿日期: 2018-12-11

ZTFLH:

R692.4

通讯作者: 宋光鲁,songgl030799@163.com

引用本文:

麦麦提·吾斯音, 阿斯木江·阿不拉, 哈木拉提·吐送, 宋光鲁. 逆行输尿管软镜碎石术治疗肾结石术后结石清除率相关预测模型研究进展[J]. 微创泌尿外科杂志, 2019, 8(3): 211-216.
MAIMAITI Wusiyin, ASIMUJIANG Abula, HAMULATI Tusong, SONG Guanglu. Advances in predictive models of stone clearance after RIRS for renal stones. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2019, 8(3): 211-216.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1512.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2019/V8/I3/211

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