Classification of the renal papillary abnormalities by flexible ureteroscopy: evaluation of the 2016 version and update.
Classification of the renal papillary abnormalities by flexible ureteroscopy: evaluation of the 2016 version and update.
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通过灵活的输尿管镜检查对肾乳头状异常分类：2016年版本和更新的评估。
DOI：
10.1007/s00345-020-03149-4
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发表时间：
2021-01
影响因子：
3.4
通讯作者：
Meria P
中科院分区：
文献类型：
--
作者：
Almeras C;Daudon M;Estrade V;Gautier JR;Traxer O;Meria P
评估2016年拟议的肾乳头状异常分类在柔性输尿管镜检查中的应用，旨在标准化其描述。在治疗肾结石所需的88次连续的柔性输尿管镜检查中，我们使用这种分类进行了前瞻性的单中心、单一操作员的数据收集。结果测量和统计分析：将结石分析(显微镜和红外分光光度法)以及血清和尿液生化样本的数据与分类内窥镜描述的结果进行比较。平均描述时间为81.4%。我们报道83%的患者有兰德尔斑块(RP)，只有4.5%的患者无异常。乳头状结石和锚定结石占30.7%，导管内结晶(SC)占15.9%。糜烂型占55.7%，外向型乳头占8%。Sa1和Pa2与Rp显著相关，锚定结石(Sa)与乳头状糜烂相关，钙磷结石与导管内结晶相关。SA2结石的高钙尿量明显高于SA1结石。这项研究的结果证实了2016分类中的不同描述。乳头异常是结石形成的后果。他们的描述也可以改善对代谢性结石形成的随访和诊断。我们建议在输尿管镜检查时对其进行系统描述。提出了一些改进意见，以更新这一分类。
To assess the use of the 2016 proposed classification of the renal papillary abnormalities during flexible ureteroscopy that aims to standardize their description. We performed a prospective monocentric single operator collection of the data using this classification during 88 consecutive flexible ureteroscopies required for renal stones treatment. Outcome measurements and statistical analysis: data of stones analysis (microscopy and infrared spectrophotometry) and of serum and urines biochemical samples have been compared with the results of the classified endoscopic descriptions. Mean duration of description was 81.4 s. We reported that 83% of the patients had Randall plaques (RP), as only 4.5% of the patients had no abnormality. Concerning the papillary stones and anchored stones were observed in 30.7% and aspect of intraductal crystallization (Sc) in 15.9%. Erosions were present in 55.7% and extrophic papillae in 8%. Sa1 and Pa2 were significantly correlated to RP, anchored stones (Sa) to papillary erosions and calcium phosphate stones to intraductal crystallization. Hypercalciuria was significantly higher in Sa2 than Sa1 stones. The different descriptions in the 2016 classification were confirmed by the results of this study. Papillary abnormalities are consequences of stones development. Their descriptions could also improve the follow-up and the diagnosis of a metabolic lithogenesis. We recommend their systematic description during ureteroscopy. Some improvements are proposed to update this classification.
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影响因子：
2
作者：
Grases F;Costa-Bauzá A;Prieto RM;Conte A;Servera A
通讯作者：
Servera A
影响因子：
1.1
作者：
Estrade, V.;Daudon, M.;Meria, P.
通讯作者：
Meria, P.
影响因子：
19.6
作者：
Evan, A. P.;Lingeman, J.;Worcester, E.
通讯作者：
Worcester, E.
影响因子：
--
作者：
Tanriverdi, Orhan;Telci, Dilek;Sarica, Kemal
通讯作者：
Sarica, Kemal
影响因子：
6.6
作者：
Matlaga, BR;Williams, JC;Lingeman, JE
通讯作者：
Lingeman, JE