S.T.O.N.E.肾结石评分系统在PCNL术后结石清除状态及围术期情况评估中的应用

发布时间：2018-10-11 11:08

【摘要】：目的探讨S.T.O.N.E.肾结石评分系统评估经皮肾镜取石术(PCNL)后结石清除率及围手术期情况的价值。方法 222例行PCNL的肾结石患者分为结石清除组及结石残留组,分析S.T.O.N.E.肾结石评分系统各指标与术后结石清除率、术中估计失血量、术后住院天数、术后并发症的关系。结果 222例肾结石患者S.T.O.N.E.评分为(8.26±1.63)分,结石清除率为69.8%(155/222),56例(25.2%)出现术后并发症。结石清除组的S.T.O.N.E.评分为(7.74±1.38)分,结石残留组为(9.45±1.57)分,两组比较,t=-7.707,P=0.000。S.T.O.N.E.评分与术后结石清除率相关(P0.01),但与术后并发症、术中估计失血量及术后住院天数均不相关(P均0.05)。结论 S.T.O.N.E.评分系统可以预测PCNL术后结石清除状态,不能评估围术期情况。
[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 卤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 卤1.38) and (9.45 卤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.
【作者单位】： 南方医科大学南方医院;
【分类号】：R699.2
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本文编号：2263970