随着腔内泌尿外科技术的发展,经尿道输尿管软镜碎石取石术(RIRS)已成为治疗肾结石主要的方式之一。术后清石率(SFR)作为判断术后效果的一项客观指标,是我们选择手术方式时的主要关注对象。目前许多学者对RIRS治疗肾结石术后SFR的影响因素进行了研究,研究显示,结石负荷、结石位置、结石成分和密度、肾脏解剖结构异常、肾积水程度、术前是否留置双J管、钬激光碎石模式的设置、医师经验等是术后SFR的主要影响因素。此外,一些学者还基于这些影响因素探索建立术前量化预测模型,用于预测术后SFR和指导手术方式的选择。本文对目前该领域的研究成果进行综述。
With the development of endourology, transurethral ureteroscopic lithotripsy (RIRS) has become one of the main methods for the treatment of renal calculi. As an objective index to judge the postoperative effect, postoperative stone free rate (SFR) is the main concern when we choose the mode of operation. At present, many scholars have studied the influencing factors of SFR after RIRS treatment of renal calculi. Studies have shown that stone load, stone location, stone composition and density, abnormal renal anatomical structure, degree of hydronephrosis, preoperative indwelling double J tube, holmium laser lithotripsy mode setting, physician experience and so on are the main influencing factors of postoperative SFR. In addition, some scholars also explore the establishment of preoperative quantitative prediction models based on these influencing factors, which can be used to predict postoperative SFR and guide the choice of surgical methods. This paper summarizes the current research achievements in this field.
With the development of endourology, transurethral ureteroscopic lithotripsy (RIRS) has become one of the main methods for the treatment of renal calculi. As an objective index to judge the postoperative effect, postoperative stone free rate (SFR) is the main concern when we choose the mode of operation. At present, many scholars have studied the influencing factors of SFR after RIRS treatment of renal calculi. Studies have shown that stone load, stone location, stone composition and density, abnormal renal anatomical structure, degree of hydronephrosis, preoperative indwelling double J tube, holmium laser lithotripsy mode setting, physician experience and so on are the main influencing factors of postoperative SFR. In addition, some scholars also explore the establishment of preoperative quantitative prediction models based on these influencing factors, which can be used to predict postoperative SFR and guide the choice of surgical methods. This paper summarizes the current research achievements in this field.
Keywords:Renal Calculi, Flexible Ureteroscopy, Influencing Factors, Scoring System
黎天才,陈国俊. 输尿管软镜术后清石率的影响因素分析及肾结石评分系统的研究进展Analysis of Influencing Factors of Stone Free Rate after Flexible Ureteroscopy and Research Progress of Renal Calculi Scoring System[J]. 临床医学进展, 2022, 12(04): 2818-2825. https://doi.org/10.12677/ACM.2022.124404
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