清晨好,您是今天最早来到科研通的研友!由于当前在线用户较少,发布求助请尽量完整地填写文献信息,科研通机器人24小时在线,伴您科研之路漫漫前行!

A new simple scoring system for prediction of success and complication rates in pediatric percutaneous nephrolithotomy: stone-kidney size score

医学 经皮肾镜取石术 肾结石 计分系统 并发症 外科 经皮
作者
Burak Çıtamak,Hasan Serkan Doğan,Taner Ceylan,Berk Hazır,Cenk Yücel Bilen,Ahmet Şahin,Serdar Tekgül
出处
期刊:Journal of Pediatric Urology [Elsevier BV]
卷期号:15 (1): 67.e1-67.e6 被引量:14
标识
DOI:10.1016/j.jpurol.2018.09.019
摘要

Nomograms and scoring systems designed for predicting the success of percutaneous nephrolithotomy (PCNL) in adults are currently available. However, no scoring system currently exists primarily for predicting PCNL success in children.The objective of this study was to develop a scoring system to predict the stone-free and complication rates by using pre-operative parameters.A retrospective analysis was conducted on data from 434 renal units belonging to patients with kidney stones who underwent PCNL between 1997 and 2017. Renal stone index was calculated by dividing the length of the stone along its longest axis by the length of the kidney along its longest axis. Guy's Stone scores, S.T.O.N.E scores, and CROES scores for adults were calculated by filling in the variables for each patient. Factors that predicted success and complications were examined by univariate and multivariate analyses.Mean age was 8.3 (1-16) years, and male to female ratio was 236:165. When stone-free patients were compared with other patients, there was a statistically significant difference in the average stone/kidney index (SKI) value (stone size/kidney size on longitudinal axis) (0.266 vs 0.339, P < 0.001). In multivariate analysis, factors that predicted success were the SKI and number of stones. A newly developed scoring scale, the stone-kidney score (SKS), combined scores for both the SKI and the number of stones into one value. A minimum total SKS score was 2, and a maximum total SKS score was 4. Success rates for SKS scores of 2, 3, and 4 were 86.4%, 73%, and 62.9% (P < 0.001), respectively. Complication rates for SKS scores of 2, 3, and 4 were 13%, 22.1%, and 23.8%, respectively.The new scoring system has only two variables (number of stones and SKI) and three risk groups. An SKS score is easier to use and calculate. An SKI value can be simply calculated on any imaging modality by dividing the length of the stone along its longest axis by the length of the kidney along its longest axis. As in the new scoring system, the SKI value combined with the number of stones is useful in predicting stone-free rates after PCNL.When evaluated together, the SKI and presence of multiple stones may predict stone-free rates pre-operatively. The SKS is an individual-specific method that can be easily used in pediatric clinical practice. Further studies are required to develop and standardize this method.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
28秒前
34秒前
cappuccino完成签到 ,获得积分10
44秒前
无限的以亦完成签到,获得积分10
44秒前
Kevin完成签到,获得积分10
56秒前
ChatGPT完成签到,获得积分10
1分钟前
zzhui完成签到,获得积分10
1分钟前
1分钟前
1分钟前
1分钟前
1分钟前
elisa828发布了新的文献求助10
2分钟前
adinaaaalala关注了科研通微信公众号
2分钟前
朴实以丹完成签到 ,获得积分10
2分钟前
情怀应助科研通管家采纳,获得10
2分钟前
Owen应助科研通管家采纳,获得10
2分钟前
cadcae完成签到,获得积分10
2分钟前
GYQ完成签到,获得积分20
2分钟前
光合作用完成签到,获得积分10
2分钟前
yueyueyahoo完成签到,获得积分10
3分钟前
3分钟前
呆呆的猕猴桃完成签到 ,获得积分10
3分钟前
1111完成签到 ,获得积分10
4分钟前
今后应助傲娇的夜山采纳,获得10
4分钟前
cgs完成签到 ,获得积分10
4分钟前
zpc猪猪完成签到,获得积分10
4分钟前
科研通AI2S应助科研通管家采纳,获得10
4分钟前
Akim应助科研通管家采纳,获得10
4分钟前
柯伊达完成签到 ,获得积分10
4分钟前
elisa828完成签到,获得积分10
4分钟前
4分钟前
5分钟前
喵叽发布了新的文献求助10
5分钟前
桐桐应助喵叽采纳,获得10
5分钟前
平平平平完成签到 ,获得积分10
5分钟前
rockyshi完成签到 ,获得积分10
6分钟前
6分钟前
新新新新新发顶刊完成签到 ,获得积分10
6分钟前
科目三应助科研通管家采纳,获得10
6分钟前
柚子完成签到 ,获得积分20
6分钟前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Cognitive Neuroscience: The Biology of the Mind 1000
Technical Brochure TB 814: LPIT applications in HV gas insulated switchgear 1000
Immigrant Incorporation in East Asian Democracies 600
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
A Preliminary Study on Correlation Between Independent Components of Facial Thermal Images and Subjective Assessment of Chronic Stress 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3968520
求助须知:如何正确求助?哪些是违规求助? 3513331
关于积分的说明 11167298
捐赠科研通 3248700
什么是DOI,文献DOI怎么找? 1794417
邀请新用户注册赠送积分活动 875030
科研通“疑难数据库(出版商)”最低求助积分说明 804664