S.T.O.N.E.评分和Guy’s结石评分用于PCNL成功率及术后并发症预测的比较

Comparison on S.T.O.N.E. score and Guy’s stone score in evaluating the success rate and complication rate of percutaneous nephrolithotomy

摘要:

目的：比较S.T.O.N.E.评分和Guy’s结石评分（Guy’s stone score，GSS）对经皮肾镜取石术（percutaneous nephrolithoto－my，PCNL）患者手术成功率和术后并发生发生率的预测价值。方法：本研究为回顾性研究，自2015年1月至2017年12月收集本院行经皮肾镜手术患者的资料，设置纳入、排除标准筛选患者，根据CT检查结果对术前结石进行S.T.O.N.E.和GSS评分，记录患者术中、术后的相关并发症。结果：经筛选后共计518例患者纳入本研究，手术成功率为87.26%，GSS评分和S.T.O.N.E.评分均能有效预测手术成功率和术后结石残留的发生率，且2种评分均和患者住院时间、手术时间以及术后并发症情况相关。结论：在评价PCNL手术成功率方面，S.T.O.N.E.评分和GSS评分均有效，且两者评估效果无明显差异。

Abstract:

Objective：To assess the predictive value of Guy’s score and S.T.O.N.E. score for success rate and complication rate of percutaneous nephrolithotomy（PCNL）. Methods：The present study is aretrospective study. Patients received PCNL between January 2015 and December 2017 were included in the study and were screened with included and excluded standard. GSS scores and S.T.O.N.E. score were generated based on CT image，and complication after the operation was recorded. Results：Totally 518 cases were included in the present study，and the operation success rate was 87.26%. The GSS score and S.T.O.N.E. score could both pre－dict the success rate of PCNL and residual calculi，and were associated with the length of stay，operationtime and postoperative com－plication. Conclusion：The GSS score and S.T.O.N.E. score could both predict the success rate of PCNL effectively and no significant difference was found between the two scores.