S.T.O.N.E.评分系统与经皮肾镜碎石术后并发症及结石清除状态的关系  

Application of S.T.O.N.E. nephrolithometry scoring system in the prediction of outcomes of minimally invasive percutaneous nephrolithotomy

作　　者：黎灿强[1] 徐乐[1] 邱敏捷[1] 蒋杰宏[1] 

机构地区：[1]南方医科大学附属何贤纪念医院泌尿外科,广东广州511400

出　　处：《现代泌尿外科杂志》2015年第1期44-47,共4页Journal of Modern Urology

摘　　要：目的探讨应用S.T.O.N.E.肾结石评分系统评估微创经皮肾镜碎石术后并发症及结石清除状态的临床价值。方法对我科2011年6月至2014年4月接受微创经皮肾镜碎石手术治疗的125例肾结石患者的临床资料进行回顾性分析。根据术后结石清除状态分为结石清除组与结石残留组,比较两组之间S.T.O.N.E.肾结石评分的差异。同时按Clavien分级系统对术后并发症进行分级,比较轻度并发症组与严重并发症组之间S.T.O.N.E.肾结石评分的差异。结果结石清除组、结石残留组的S.T.O.N.E.肾结石(7.87±1.62)、(8.65±1.38),两组之间S.T.O.N.E.肾结石评分比较,差异有统计学意义(P<0.05)。36例患者出现术后并发症。轻度并发症组为28例(77.8%,28/36),严重并发症组为8例(22.2%,8/36),两组之间S.T.O.N.E.肾结石评分比较,差异无统计学意义(P>0.05)。结论 S.T.O.N.E.肾结石评分系统具有预测术后结石清除状态的价值,但在预测术后并发症方面需要样本量更大的多中心、前瞻性、随机对照研究进一步评价其价值。Objective To investigate the application value of S. T. O. N.E. nephrolithometry scoring system to predict the outcomes of minimally invasive percutaneous nephrolithotomy （mPCNL）. Methods Clinical data of 125 patients with nephrolithiasis undergoing mPCNL during June 2011 to April 2014 were retrospectively analyzed. According to the postoperative stone clearance condition, the patients were divided into the residual group and clearance group, and S. T. O. N. E. nephrolithometry scores of the two groups were compared. According to postoperative complications, the patients were classified into mild complication group and severe complication group with Clavien system, and S. T. O. N.E. nephrolithometry scores of these two groups were compared. Results TheS.T.O.N.E. nephrolithometry score was （7.87±1.62） and （8.65±1.38） respectively for the clearance group and residual group, and the difference was statistically significant （P〈0-05）. Complications occurred in 36 patients after operation. 28 cases （77,8%, 28/36） suffered from mild complications and 8 cases （22.2%, 8/36） from severe complications. The difference of S. T. O. N.E. nephrolithometry scores between the two groups was not statistically significant （P〈0-05）. Conclusion S. T. O. N.E. nephrolithometry scoring system can predict postoperative stone-free status after mPCNL, but its clinical value of predicting complications needs to be further evaluated.

关 键 词：微创经皮肾镜碎石术 并发症 分级 肾结石 结石清除率 

分 类 号：R692.4[医药卫生—泌尿科学]