一项多中心研究:体外验证和体外支架管理中现有评分系统的比较。

IF 4.5 3区 医学 Q1 UROLOGY & NEPHROLOGY
Mert Hamza Özbilen, Mehmet Çağlar Çakıcı, Erdem Kısa, Taylan Tığlı, Berk Yasin Ekenci, Burak Tüfekçi, Hilmi Sarı, İbrahim Güven Kartal, Ahmet Nihat Karakoyunlu, Gökhan Koç, Asıf Yıldırım, Hakan Erçil
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引用次数: 0

摘要

目的:比较四种现有的输尿管嵌套支架(EUS)评分系统的外部有效性,以及它们与支架留置时间、结石无结石率、多次手术次数、多模式手术以及总手术时间超过120分钟的关系。材料与方法:回顾性分析208例EUS手术患者的资料。采用4种评分系统对所有eus进行评估:ESB(结石包覆)、FECal(遗忘、包覆、钙化)、KUB(肾脏、输尿管和膀胱)、V-GUES(输尿管结石负担视觉分级)。结果:随着支架放置时间的延长,患者的ESB、FECal、KUB和V-GUES系统评分均显著升高。(结论:泌尿科医师对eus的处理往往具有挑战性。虽然目前的EUS评分系统有所不同,但使用评分系统来指导这些患者的管理是很重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

External Validation and Comparison of Current Scoring Systems in Encrusted Ure-teral Stent Management: a Multicenter Study.

External Validation and Comparison of Current Scoring Systems in Encrusted Ure-teral Stent Management: a Multicenter Study.

External Validation and Comparison of Current Scoring Systems in Encrusted Ure-teral Stent Management: a Multicenter Study.

External Validation and Comparison of Current Scoring Systems in Encrusted Ure-teral Stent Management: a Multicenter Study.

Purpose: To compare the external validation of four existing scoring systems for encrusted ureteral stents (EUS) and their relationship with stent indwelling time, stone-free rates, multiple surgery sessions, multimodal procedures, and prolonged operation times exceeding 120 minutes in total.

Materials and methods: The data of 208 patients who underwent surgery for EUS reviewed. All EUSs were evaluated with 4 scoring systems: ESB (encrusted stone burden), FECal (forgotten, encrusted, calcified), KUB (kidney, ureter and bladder), V-GUES (visual grading for ureteral stone burden).

Results: As the duration of stent indwelling time prolonged, a significant increase is observed in the scores of ESB, FECal, KUB and V-GUES systems (p<0.001). In multivariate logistic regression analysis, V-GUES score (p=0.025) and stent indwelling time (p=0.014) in stone-free rate, FECal grade (p<0.001) in multimodal procedure requirement, FECal (p=0.002) and V-GUES (p=0.032) scores in multiple surgery sessions, and stent indwelling time (p=0.019) and KUB score (p<0.001) in prolonged operation time were found to be predictors. When the area under receiver operating characterictic (ROC) curves (AUC) of the nomograms were examined, V-GUES score (AUC=0.685) in stone-free rate, FECal grade (AUC=0.780) in multimodal procedure requirement, FECal grade (AUC=0.845) in multiple surgery sessions, and KUB score (AUC=0.860) in prolonged operation time were found to be superior.

Conclusions: The management of EUSs is often challenging for urologists. Although the current scoring systems for EUS differ somewhat, it is important to use scoring systems to guide the management of these patients.

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来源期刊
International Braz J Urol
International Braz J Urol UROLOGY & NEPHROLOGY-
CiteScore
4.60
自引率
21.60%
发文量
246
审稿时长
6-12 weeks
期刊介绍: Information not localized
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