改良RUSS评分、S.T.O.N.E.评分、CROES评分预测肾结石术后结石清除的价值对比

杨旭东; 王朝明; 林琳; 王宽; 王志娟

doi:10.13201/j.issn.1001-1420.2021.06.003

改良RUSS评分、S.T.O.N.E.评分、CROES评分预测肾结石术后结石清除的价值对比

- 黄河三门峡医院泌尿外科(河南三门峡, 472000)

详细信息

通讯作者: 王朝明,E-mai:luckyDW@sina.com

中图分类号: R692.4

收稿日期: 2020-09-04

Comparison among modified RUSS score, S. T. O. N. E. score and CROES score in predicting stone clearance after operation for renal calculi

- Department of Urology, Huanghe Sanmenxia Hospital, Sanmenxia, Henan, 472000, China

More Information

Corresponding author: WANG Chaoming, E-mail: luckyDW@sina.com

Received Date: 04 September 2020

摘要

摘要: 目的:对比改良RUSS评分、S.T.O.N.E.评分、CROES评分对肾结石术后结石清除的价值。方法:回顾性分析2018年1月—2019年12月期间我院手术治疗的189例肾结石患者的临床资料,术前均采用改良RUSS评分、S.T.O.N.E.评分、CROES评分评价。统计结石清除率;对比结石清除和残留患者术前改良RUSS评分、S.T.O.N.E.评分、CROES评分;绘制受试者工作特征曲线(ROC)分析其预测结石清除的效能,对比三者预测结石清除的曲线下面积(AUC)。结果:结石清除率为85.19%,实施输尿管软镜钬激光碎石术和经皮肾镜取石术者结石清除率分别为87.63%、82.61%;结石清除患者术前改良RUSS评分、S.T.O.N.E.评分、CROES评分均低于结石残留患者(P<0.05),且不同术式结石清除与结石残留患者对比结果一致;改良RUSS评分、S.T.O.N.E.评分预测结石清除的AUC均高于CROES评分(P<0.05),且在实施输尿管软镜钬激光碎石术和经皮肾镜取石术的患者中结果一致。结论:改良RUSS评分、S.T.O.N.E.评分、CROES评分均可预测肾结石术后结石清除,但改良RUSS评分、S.T.O.N.E.评分的预测效能优于CROES评分。
- 改良RUSS评分 /
- S.T.O.N.E.评分 /
- CROES评分 /
- 肾结石 /
- 结石清除率
Abstract: Objective: To compare the values among modified RUSS score, S. T. O. N. E. score and CROES score in stone clearance after operation for renal calculi.Methods: The clinical data of 189 cases of renal calculi treated by operation were retrospectively analyzed. All patients were evaluated with modified RUSS score, S. T. O. N. E. score and CROES score before operation. The stone clearance rate was counted. The modified RUSS score, S. T. O. N. E. score and CROES score were compared between the patients with stone removal and the patients with residual stone. Receiver operating characteristic curve(ROC) was drawn to analyze the effectiveness of ROC in predicting stone clearance, and the area under the curve(AUC) of the three methods was compared.Results: The stone clearance rate was 85.19%, and the stone clearance rates of flexible ureteroscopic holmium laser lithotripsy and percutaneous nephrolithotomy were 87.63% and 82.61%, respectively. The modified RUSS score, S. T. O. N. E. score and CROES score of patients with stone removal were lower than those of patients with residual stone(P<0.05), and the results of different stone removal methods were consistent with those of patients with residual stone. The AUC of modified RUSS score, S. T. O. N. E. score in predicting stone clearance were higher than that of CROES score(P<0.05), and the results were consistent in patients undergoing flexible ureteroscopic holmium laser lithotripsy and percutaneous nephrolithotomy.Conclusion: The modified RUSS score, S. T. O. N. E. score and CROES score can predict the stone clearance after operation for renal calculi, but the modified RUSS score and S. T. O. N. E. score are better than CROES score.
- modified RUSS score /
- S.T.O.N.E.score /
- CROES score /
- renal calculi /
- stone clearance rate

HTML全文

参考文献(21)

[1]	娄路馨,于爱红,李凯,等.中国社区40岁以上人群无症状肾结石患病率的CT调查[J].中国全科医学,2020,23(22):2793-2796.
[2]	Fontenelle LF,Sarti TD.Kidney Stones:Treatment and Prevention[J].Am Fam Physician,2019,99(8):490-496.
[3]	米杨,汪新天,陈晨,等.三维可视化技术指导输尿管硬镜联合钬激光在复杂肝胆管结石病诊治中的应用[J].中国医师杂志,2020,22(5):693-698.
[4]	李武学,许长宝,赵兴华,等.改良RUSS肾结石评分预测输尿管软镜术后结石清除率的可行性[J].中华泌尿外科杂志,2019,40(11):843-848.
[5]	苑海春,种铁,薛玉泉,等.S.T.O.N.E评分系统及其改良对经皮肾镜碎石取石术后结石清除状态的预测研究[J].中国内镜杂志,2019,25(8):35-41.
[6]	Alabi TO,Jeje EA,Ogunjimi MA,et al.Endoscopic Management of Ureteric Stones:Our Initial Experience[J].Niger J Surg,2019,25(1):26-29.
[7]	《泌尿外科杂志(电子版)》编辑部.泌尿系结石诊治指南解读(二):肾结石治疗[J].泌尿外科杂志(电子版),2012,4(1):46-48.
[8]	Sprague S,Petrisor B,Jeray K,et al.Wound irrigation does not affect health-related quality of life after open fractures:results of a randomized controlled trial[J].Bone Joint J,2018,100-B(1):88-94.
[9]	Otto BJ,Terry RS,Lutfi FG,et al.The Effect of Continued Low Dose Aspirin Therapy in Patients Undergoing Percutaneous Nephrolithotomy[J].J Urol,2018,199(3):748-753.
[10]	Citamak B,Dogan HS,Ceylan T,et al.A new simple scoring system for prediction of success and complication rates in pediatric percutaneous nephrolithotomy:stone-kidney size score[J].J Pediatr Urol,2019,15(1):67.e1-67.e6.
[11]	Corbo J,Wang J.Kidney and Ureteral Stones[J].Emerg Med Clin North Am,2019,37(4):637-648.
[12]	Lu P,Chen K,Wang Z,et al.Clinical efficacy and safety of flexible ureteroscopic lithotripsy using 365 μm holmium laser for nephrolithiasis:a prospective,randomized,controlled trial[J].World J Urol,2020,38(2):481-487.
[13]	Adhikari MB,Karna S,Adhikari K,et al.Impact of Miniaturization on Early Outcome of Percutaneous Nephrolithotomy[J].J Nepal Health Res Counc,2019,17(3):320-324.
[14]	周立权,徐广龙,邓耀良,等.S.T.O.N.E.肾结石评分系统预测PCNL结石清除率及并发症的临床应用价值分析[J].临床泌尿外科杂志,2018,33(2):89-92.
[15]	刘余庆,郝一昌,刘可,等.改良S.T.O.N.E.肾结石评分系统对输尿管软镜碎石术后一期结石清除率的评估价值[J].重庆医科大学学报,2018,43(4):516-522.
[16]	HEALTH Investigators,Bhandari M,Einhorn TA,et al.Total Hip Arthroplasty or Hemiarthroplasty for Hip Fracture[J].N Engl J Med,2019,381(23):2199-2208.
[17]	陈星,彭畔新,何宇辉,等.SHA.LIN,S.T.O.N.E.评分系统与腔道泌尿外科协会临床研究办公室列线图对预测经皮肾镜取石术后结石清除率及围手术期情况的对比[J].中国医学科学院学报,2019,41(4):492-500.
[18]	Tian Y,Yang X,Luo G,et al.Initial prospective study of ambulatory mPCNL on upper urinary tract calculi[J].Urol J,2020,17(1):14-18.
[19]	Biswas K,Gupta SK,Tak GR,et al.Comparison of STONE score,Guy's stone score and Clinical Research Office of the Endourological Society(CROES)score as predictive tools for percutaneous nephrolithotomy outcome:a prospective study[J].BJU Int,2020,126(4):494-501.
[20]	Cai C,Liu Y,Zhong W,et al.The Clinical Application of New Generation Super-Mini Percutaneous Nephrolithotomy in the Treatment of ≥20 mm Renal Stones[J].J Endourol,2019,33(8):634-638.
[21]	黄建林,吴克,廖勇,等.改良S.T.O.N.E.结石评分系统在预测输尿管软镜碎石术后清石率中的应用[J].临床泌尿外科杂志,2019,34(8):617-620.