检索规则说明:AND代表“并且”;OR代表“或者”;NOT代表“不包含”;(注意必须大写,运算符两边需空一格)
检 索 范 例 :范例一: (K=图书馆学 OR K=情报学) AND A=范并思 范例二:J=计算机应用与软件 AND (U=C++ OR U=Basic) NOT M=Visual
作 者:王洪[1] 刘勇[1] 毛昕[1] 荆涛[1] 钟修龙[1] 孙立江[1] 李延江[1] 纪建磊 姜德田
机构地区:[1]青岛大学医学院附属医院泌尿外科,山东青岛266000
出 处:《临床泌尿外科杂志》2014年第6期514-517,共4页Journal of Clinical Urology
摘 要:目的:探讨R.E.N.A.L.肾肿瘤评分系统用于保留肾单位手术(NSS)方式选择的临床意义。方法:回顾性分析行NSS的124例(127例次)肾肿瘤患者临床资料,按R.E.N.A.L.肾肿瘤评分系统进行评分,运用t检验、χ2检验、Fisher确切检验、logistic回归,分析R.E.N.A.L.肾肿瘤评分系统与NSS方式(腹腔镜或开放)的相互关系。结果:127例次手术中,良性肿瘤14例次,恶性肿瘤113例次;腹腔镜保留肾单位手术(LNSS)71例次,开放保留肾单位手术(ONSS)56例次;R.E.N.A.L.肾肿瘤评分系统低、中、高度复杂肿瘤分别为46例次、58例次、23例次,行LNSS分别为38例次(82.6%)、30例次(51.7%)、3例次(13.0%);LNSS组(5.8±1.9)和ONSS组(8.1±1.7)的R.E.N.A.L.评分均值差异有统计学意义(P<0.05);R.E.N.A.L.肾肿瘤评分系统与LNSS方法的选择有显著相关性(χ2=30.9,P<0.05),低度及大部分中度复杂肿瘤适合行LNSS;单因素R、E、N、L与NSS方法的选择有关,N与LNSS方式关联强度最大,而A、h无明显相关性。结论:R.E.N.A.L.肾肿瘤评分系统可评估肾肿瘤的复杂程度,并可指导NSS方式的选择。Objective:To evaluate the clinical application of R. E. N. A. L. nephrometry score system in deci- sion-making of nephron-sparing surgery (NSS). Method: Clinical data of 124 patients who underwent 127 nephron- sparing surgeries were analyzed retrospectively. The correlation between R. E. N. A. L. nephrometry score and the type of NSS procedure (laparoscopic or open surgery) was evaluated using t tests, g2 tests, Fisher's exact tests and logistic regressions analysis according to R. E. N. A. L. nephrometry score system. Result:Among the 127 cases of NSS, 14 cases were benign and 113 cases were malignancy. There were 71 cases operated by LNSS (laparoscopic nephron-sparing surgery) and 56 ONSS (open nephron-sparing surgery). The numbers of the low, moderate and high complexity tumors were 46, 58 and 23 respectively, and the numbers of LNSS were 38 (82.6%), 30 (51. 7% ) and 3 (13.0 % ) respectively. There were significant differences between the laparoscopic surgery group (5.8 ±1.9) and open surgery group (8. 1±1. 7) in terms of their mean nephrometry score (P〈0.05). R. E. N. A. L. nephrometry score was significantly associated with the type of procedure (laparoscopic or open surgery) (χ2 = 30. 9, P〈0.05). The low and the most of moderate complexity tumors were suitable for LNSS. Individual compo- nent R. , E. , N. , and L. were statistically significant predictors of the NSS type, and the individual component N was associated with the surgery type most. However, individual component A and h seemed to have no relation- ship with the type. Conclusion:R. E. N. A. L. nephrometry score can evaluate the complexity of renal tumors and di- rect surgeons to choose surgery type.
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在链接到云南高校图书馆文献保障联盟下载...
云南高校图书馆联盟文献共享服务平台 版权所有©
您的IP:216.73.216.229