Ureteral stenting can be a negative predictor for successful outcome following shock wave lithotripsy in patients with ureteral stones.
Ureteral stenting can be a negative predictor for successful outcome following shock wave lithotripsy in patients with ureteral stones.
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输尿管岩石术后，输尿管支架置入术后成功预测因子是成功的预测因子。
DOI：
10.4111/icu.2016.57.6.408
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发表时间：
2016-11
影响因子：
2.3
通讯作者：
Lee JY
中科院分区：
文献类型：
--
作者：
Kang DH;Cho KS;Ham WS;Chung DY;Kwon JK;Choi YD;Lee JY
评估输尿管支架置入术作为影响输尿管结石清除的阴性预测因素，并估计输尿管结石患者冲击波碎石术（SWL）单次治疗成功的概率。我们回顾性审查了 1,651 名接受首次 SWL 的患者的医疗记录。在这些患者中，680 名患者的输尿管结石直径为 4-20 毫米，因此符合我们的研究资格。确定了 57 名在 SWL 期间接受输尿管支架置入术的患者。通过 SWL 前非对比计算机断层扫描确定最大结石长度 (MSL)、平均结石密度 (MSD)、皮肤到结石距离 (SSD) 和结石异质性指数 (SHI)。经过倾向评分匹配后，从总患者队列中提取了 399 名患者。匹配后支架组和无支架组之间没有显着差异，只是无支架组的单次成功率较高（78.6% vs. 49.1%，p=0.026）。在多变量分析中，较短的 MSL、较低的 MSD、较高的 SHI 和无支架是接受 SWL 的患者单次治疗成功的积极预测因素。使用从接受者操作曲线分析中获得的 MSL 和 MSD 的截止值，在 MSD 较低（≤784 HU）的患者中，有支架的患者（61.1%）的成功率低于没有支架的患者（83.5%）（p=0.001）。然而，在 MSL 较高（>10 mm）的患者中，植入支架的患者的成功率 (23.6%) 低于未植入支架的患者 (52.2%) (p=0.002)。 SWL 期间的输尿管支架置入术是输尿管结石患者单次治疗成功的负面预测因素。
To evaluate ureteral stenting as a negative predictive factor influencing ureteral stone clearance and to estimate the probability of one-session success in shock wave lithotripsy (SWL) patients with a ureteral stone. We retrospectively reviewed the medical records of 1,651 patients who underwent their first SWL. Among these patients, 680 had a ureteral stone measuring 4–20 mm and were thus eligible for our study. The 57 patients who underwent ureteral stenting during SWL were identified. Maximal stone length (MSL), mean stone density (MSD), skin-to-stone distance (SSD), and stone heterogeneity index (SHI) were determined by pre-SWL noncontrast computed tomography. After propensity score matching, 399 patients were extracted from the total patient cohort. There were no significant differences between stenting and stentless groups after matching, except for a higher one-session success rate in the stentless group (78.6% vs. 49.1%, p=0.026). In multivariate analysis, shorter MSL, lower MSD, higher SHI, and absence of a stent were positive predictors for one-session success in patients who underwent SWL. Using cutoff values of MSL and MSD obtained from receiver operator curve analysis, in patients with a lower MSD (≤784 HU), the success rate was lower in those with a stent (61.1%) than in those without (83.5%) (p=0.001). However, in patients with a higher MSL (>10 mm), the success rate was lower in those with a stent (23.6%) than in those without (52.2%) (p=0.002). Ureteral stenting during SWL was a negative predictor of one-session success in patients with a ureteral stone.
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影响因子：
2.6
作者：
Lee, Joo Yong;Diaz, Richilda Red;Choi, Young Deuk
通讯作者：
Choi, Young Deuk
影响因子：
3.7
作者：
Cho, Kang Su;Do Jung, Hae;Lee, Joo Yong
通讯作者：
Lee, Joo Yong
影响因子：
6.6
作者：
Pareek, G;Armenakas, NA;Fracchia, JA
通讯作者：
Fracchia, JA
影响因子：
6.6
作者：
Nguyen, Daniel P.;Hnilicka, Stefanie;Roth, Beat
通讯作者：
Roth, Beat
影响因子：
1.2
作者：
Pettenati, Caroline;El Fegoun, Amine Benchikh;Avery, Vincent R.
通讯作者：
Avery, Vincent R.