|
|
肾结石评分系统的研究进展
|
Abstract:
目的：经皮肾镜作为治疗肾结石的主要方式之一，其术后结石清除率及术后并发症的发生情况，一直是临床医生关注的重点。关于结石清除率目前的研究证明其与术前结石的负荷、结石的位置及积水程度等密切相关。此外，国内外的研究团队纷纷提出自己的肾结石评分系统，用于预测术后结石清除率及术后并发症的发生情况。本文就影响结石清除率的重要因素及肾结石评分系统的研究进展进行综述。
Objective: Percutaneous nephrolithotomy is one of the main methods for the treatment of renal calculi. The stone clearance rate and the occurrence of postoperative complications are always the focus of clinical doctors. Current research on stone clearance rate has shown that it is closely related to preoperative stone load, stone location and water accumulation. In addition, domestic and for-eign research teams have proposed their own kidney stone scoring system to predict the postoper-ative stone clearance rate and postoperative complications. This article reviews the important fac-tors affecting stone clearance and the research progress of renal stone scoring system.
| [1] | Geraghty, R.M., Proietti, S., Traxer, O., et al. (2017) Worldwide Impact of Warmer Seasons on the Incidence of Renal Colic and Kidney Stone Disease: Evidence from a Systematic Review of Literature. Journal of Endourology, 31, 729-735. https://doi.org/10.1089/end.2017.0123 |
| [2] | 2019版《中国泌尿外科疾病诊断治疗指南》出版发行[J]. 泌尿外科杂志(电子版), 2019(3): 54. |
| [3] | Jiao, B., Ding, Z., Luo, Z., et al. (2020) Single- versus Multiple-Tract Percutaneous Nephrolithotomy in the Surgical Management of Staghorn Stones or Complex Caliceal Calculi: A Systematic Review and Meta-Analysis. BioMed Research International, 2020, Article ID: 8817070. https://doi.org/10.1155/2020/8817070 |
| [4] | 李强, 许长宝, 赵兴华, 等. 影响超微通道经皮肾镜取石术结石清除率的术前因素[J]. 现代泌尿外科杂志, 2022, 27(4): 281-285. |
| [5] | 苏醒, 高学林, 马帅军, 等. 肾结石患者微通道经皮肾镜碎石术后结石清除率的风险评估[J]. 现代泌尿外科杂志, 2022, 27(4): 329-334. |
| [6] | 霍旺盛, 雷婷婷, 王艳军, 等. 不同肾结石评分系统在经皮肾镜取石术中的应用价值研究[J]. 国际泌尿系统杂志, 2020, 40(5): 780-784. |
| [7] | Okhunov, Z. and George, A.K. (2020) Finding One Voice: Toward Standardization of Stone Complexity Scoring Systems. Editorial Comment on: “Percutaneous Nephrolithotomy Outcomes Based on S.T.O.N.E., GUY, CROES, and S-ReSC Scoring Systems: The First Prospective Study” by Al Adl et al. Journal of Endourology, 34, Arti-cle No. 1229.
https://doi.org/10.1089/end.2020.0317 |
| [8] | Gücük, A., Kemahl？, E., üyetürk, U., et al. (2013) Routine Flexible Nephroscopy for Percutaneous Nephrolithotomy for Renal Stones with Low Density: A Prospective, Randomized Study. The Journal of Urology, 190, 144-148.
https://doi.org/10.1016/j.juro.2013.01.009 |
| [9] | 李梦旭, 魏若晶, 连文峰, 等. 肾结石分布对经皮肾镜取石术清石率的影响[J]. 检验医学与临床, 2021, 18(12): 1698-1700. |
| [10] | Singh, B.P. and Dhakad, U. (2012) Re: The CROES Percutaneous Nephrolithotomy Global Study: The Influence of Body Mass Index on Outcome: A. Fuller, H. Razvi, J. D. Denstedt, L. Nott, M. Pearle, F. Cauda, D. Bolton, A. Celia and J. de la Rosette on Behalf of the CROES PCNL Study Group. The Journal of Urology, 188, 138-144.
https://doi.org/10.1016/j.juro.2012.08.002 |
| [11] | 刘敏, 肖日海, 邹晓峰, 等. 肥胖患者上尿路结石MPCNL治疗的临床研究[J]. 赣南医学院学报, 2014, 34(1): 37-39. |
| [12] | 毛厚平, 施祝贤, 江涛, 等. 肾积水程度对微创经皮肾镜取石术效率及结石清除率的影响[J]. 泌尿外科杂志(电子版), 2021, 13(3): 25-32. |
| [13] | 朱成城, 张大田, 王唯. 输尿管支架管及导管制造人工肾积水在经皮肾镜碎石取石术中的应用比较[J]. 山西医药杂志, 2022, 51(6): 623-626. |
| [14] | 马龙, 何士军, 闵晓明, 等. 改良Guy’s分级法与SHA.LIN评分预测经皮肾镜取石术结石清除率的研究分析[J]. 解放军医药杂志, 2018, 30(3): 80-83. |
| [15] | Chen, X., Peng, P.X., He, Y.H., et al. (2019) Evaluation and Comparison of SHA. LIN, S.T.O.N.E. Nephrolithometry Scoring System, and Clinical Research Office of the En-dourological Society Nephrolithometry Nomogram for Predicting Stone Free Rate and Postoperative Outcomes after Percutaneous Nephrolithotomy. Acta Academiae Medicinae Sinicae, 41, 492-500. |
| [16] | 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. |
| [17] | 彭国辉, 李汉忠, 李秉诚, 等. SHA.LIN、S.T.O.N.E.评分系统和Guy’s分级法预测经皮肾镜取石术结石清除率准确性的比较研究[J]. 中华泌尿外科杂志, 2016, 37(3): 199-205. |
| [18] | Okhunov, Z., Friedlander, J.I., George, A.K., et al. (2013) S.T.O.N.E. Nephro-lithometry: Novel Surgical Classification System for Kidney Calculi. Urology, 81, 1154-1159. https://doi.org/10.1016/j.urology.2012.10.083 |
| [19] | 陈凤婷, 邹戈, 李杰贤, 等. 新型肾结石评分系统在经皮肾镜取石手术术前评估的临床应用[J]. 深圳中西医结合杂志, 2017, 27(6): 88-89. https://doi.org/10.16458/j.cnki.1007-0893.2017.06.044 |
| [20] | 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. https://doi.org/10.13201/j.issn.1001-1420.2018.02.002 |
| [21] | 王凤龙, 孙凌风, 范欣欢, 等. Guy’s分级和S.T.O.N.E.评分在预测经皮肾镜取石术后结石清除率的临床价值[J]. 国际泌尿系统杂志, 2021, 41(5): 843-846. |
| [22] | 彭国辉, 李汉忠, 李秉诚, 张学斌, 邓建华, 冯元法, 曹满超, 许桂祥, 马金. SHA.LIN、S.T.O.N.E.评分系统和Guy’s分级法预测经皮肾镜取石术结石清除率准确性的比较研究[J]. 中华泌尿外科杂志, 2016, 37(3): 199-205. |
| [23] | Bakhtiyor, S., 哈木拉提？吐送, 瓦热斯？先木西丁, 等. S.T.O.N.E.评分系统对经皮肾镜疗效的预测价值[J]. 中华腔镜泌尿外科杂志(电子版), 2019, 13(5): 304-308. |
| [24] | 赵华. S.T.O.N.E肾结石评分系统在mpcnl治疗上尿路开放术后肾结石中的应用[J]. 中国当代医药, 2021, 28(33): 53-56. |
| [25] | Withington, J., Armitage, J., Finch, W., et al. (2016) Assessment of Stone Complexity for PCNL: A Systematic Review of the Literature, How Best Can We Record Stone Complexity in PCNL? Journal of Endourology, 30, 13-23.
https://doi.org/10.1089/end.2015.0278 |
| [26] | Ingimarsson, J.P., Dagrosa, L.M., Hyams, E.S. and Pais, V.M. (2014) External Validation of a Preoperative Renal Stone Grading System: Reproducibility and Inter-Rater Concordance of the Guy’s Stone Score Using Preoperative Computed Tomography and Rigorous Postoperative Stone-Free Criteria. Urology, 83, 45-49.
https://doi.org/10.1016/j.urology.2013.09.008 |
| [27] | Mandal, S., Goel, A., Kathpalia, R., et al. (2012) Prospective Evaluation of Complications Using the Modified Clavien Grading System, and of Success Rates of Percutaneous Neph-rolithotomy Using Guy’s Stone Score: A Single-Center Experience. Indian Journal of Urology, 28, 392-398. https://doi.org/10.4103/0970-1591.105749 |
| [28] | Vicentini, F.C., Marchini, G.S., Mazzucchi, E., Claro, J.F. and Srougi, M. (2014) Utility of the Guy’s Stone Score Based on Computed Tomographic Scan Findings for Predicting Per-cutaneous Nephrolithotomy Outcomes. Urology, 83, 1248-1253. https://doi.org/10.1016/j.urology.2013.12.041 |
| [29] | Sinha, R.K., Mukherjee, S., Jindal, T., et al. (2015) Evaluation of Stone-Free Rate Using Guy’s Stone Score and Assessment of Complications Using Modified Clavien Grading Sys-tem for Percutaneous Nephrolithotomy. Urolithiasis, 43, 349-353. https://doi.org/10.1007/s00240-015-0769-1 |
| [30] | Aldaqadossi, H.A., Khairy Salem, H., Kotb, Y., et al. (2017) Pre-diction of Pediatric Percutaneous Nephrolithotomy Outcomes Using Contemporary Scoring Systems. The Journal of Urology, 198, 1146-1152.
https://doi.org/10.1016/j.juro.2017.04.084 |
| [31] | Labadie, K., Okhunov, Z., Akhavein, A., et al. (2015) Evaluation and Comparison of Urolithiasis Scoring Systems Used in Percutaneous Kidney Stone Surgery. Journal of Urology, 193, 154-159.
https://doi.org/10.1016/j.juro.2014.07.104 |
| [32] | Smith, A., Averch, T.D., Shahrour, K., et al. (2013) A Nephro-lithometric Nomogram to Predict Treatment Success of Percutaneous Nephrolithotomy. The Journal of Urology, 190, 149-156. https://doi.org/10.1016/j.juro.2013.01.047 |
| [33] | Caglayan, V., Onen, E., Avci, S., et al. (2019) Compari-son of Guy’s Stone Score and Clinical Research of the Endourological Society Nomogram for Predicting Surgical Out-comes after Pediatric Percutaneous Nephrolithotomy: A Single Center Study. Minerva Urologica E Nefrologica = The Italian Journal of Urology and Nephrology, 71, 619-626.
https://doi.org/10.23736/S0393-2249.19.03405-2 |
| [34] | Kailavasan, M., Berridge, C., Yuan, Y., et al. (2022) A Systematic Review of Nomograms Used in Urolithiasis Practice to Predict Clinical Outcomes in Paediatric Patients. Journal of Pediatric Urology, S1477-5131(22)00211-X.
https://doi.org/10.1016/j.jpurol.2022.05.013 |
| [35] | Polat, S., Yarimoglu, S., Koras, O., et al. (2021) Comparison of Guy’s, S.T.O.N.E. and Croes Scoring Systems for Predicting Percutaneous Nephrolithotomy Outcomes in Elderly Pa-tients. Journal of the College of Physicians and Surgeons—Pakistan: JCPSP, 31, 307-313. https://doi.org/10.29271/jcpsp.2021.03.307 |
| [36] | Jeong, C.W., Jung, J.-W., Cha, W.H., et al. (2013) Seoul National University Renal Stone Complexity Score for Predicting Stone-Free Rate after Percutaneous Nephrolithotomy. PLOS ONE, 8, e65888.
https://doi.org/10.1371/journal.pone.0065888 |
| [37] | 金艳阳, 张策伟, 张元, 等. S.T.O.N.E.和S-RESC评分系统对PCNL清石率及并发症预测对比分析[J]. 锦州医科大学学报, 2021, 42(3): 49-55. https://doi.org/10.13847/j.cnki.lnmu.2021.03.011 |
| [38] | Yarimoglu, S., Bozkurt, I.H., Aydogdu, O., et al. (2017) External Validation and Comparison of the Scoring Systems (S.T.O.N.E., Guy, Croes, S-RESC) for Predicting Percuta-neous Nephrolithotomy Outcomes for Staghorn Stones: A Single Center Experience with 160 Cases. The Kaohsiung Journal of Medical Sciences, 33, 516-522.
https://doi.org/10.1016/j.kjms.2017.06.017 |
| [39] | 林剑峰, 梁福律, 郑建忠, 等. S.T.O.N.E.评分系统和guy’s分级法预测经皮肾镜碎石效果的比较[J]. 现代泌尿外科杂志, 2017, 22(7): 522-526+529. |
| [40] | Biswas, K., Gupta, S.K., Tak, G.R., et al. (2020) Comparison of Stone Score, Guy’s Stone Score and Clinical Research Office of the En-dourological Society (Croes) Score as Predictive Tools for Percutaneous Nephrolithotomy Outcome: A Prospective Study. BJU International, 126, 494-501. https://doi.org/10.1111/bju.15130 |
| [41] | Lai, S., Jiao, B., Jiang, Z., et al. (2020) Comparing Different Kidney Stone Scoring Systems for Predicting Percutaneous Nephrolithotomy Outcomes: A Multicenter Retrospective Cohort Study. International Journal of Surgery (London, England), 81, 55-60. https://doi.org/10.1016/j.ijsu.2020.07.025 |
