CAJ | 학술논문

目的：探讨S．T．O．N．E．肾结石评分系统用于经皮肾镜取石术（PCNL）的临床意义。方法回顾性研究87例行PCNL的肾结石患者的一般情况、术前情况、结石特征、手术情况及围手术期情况等，应用S ．T ．O ． N．E．肾结石评分系统对患者术前的肾结石进行评分，分析S．T．O．N．E．评分与结石清除率、术后并发症等的关系。结果结石清除组的术前体质量指数及 S．T．O．N．E．评分均明显低于残留组，差别均有统计学意义（P＜0．05）。2组间结石最大截面积、皮肾通道距离、梗阻程度及受累肾盏数的评分差别均有统计学意义（P＜0．05）。S．T．O．N．E．评分、结石最大截面积、皮肾通道距离、梗阻程度及受累肾盏数与结石清除状态相关（P＜0．05），而结石Ct值与结石清除状态无相关性（P＞0．05）。结论 S．T．O．N．E．肾结石评分系统有助于预测PCNL的术后的结石清除状态。
목적：탐토S．T．O．N．E．신결석평분계통용우경피신경취석술（PCNL）적림상의의。방법회고성연구87례행PCNL적신결석환자적일반정황、술전정황、결석특정、수술정황급위수술기정황등，응용S ．T ．O ． N．E．신결석평분계통대환자술전적신결석진행평분，분석S．T．O．N．E．평분여결석청제솔、술후병발증등적관계。결과결석청제조적술전체질량지수급 S．T．O．N．E．평분균명현저우잔류조，차별균유통계학의의（P＜0．05）。2조간결석최대절면적、피신통도거리、경조정도급수루신잔수적평분차별균유통계학의의（P＜0．05）。S．T．O．N．E．평분、결석최대절면적、피신통도거리、경조정도급수루신잔수여결석청제상태상관（P＜0．05），이결석Ct치여결석청제상태무상관성（P＞0．05）。결론 S．T．O．N．E．신결석평분계통유조우예측PCNL적술후적결석청제상태。
Objective To investigate the clinical significance of S .T .O .N .E .nephrolithometry scoring system for nephrolithiasis in patients undergoing percutaneous nephrolithotomy (PCNL ) . Meth-ods A retrospective analysis was conducted of clinical data of 87 patients with nephrolithiasis undergoing PCNL from March 2013 to 2014 in our Department . The general conditions ,preoperative information , stone characteristics ,operation approaches and perioperative variables were collected . The correlation of nephrolithometry scores based on S .T .O .N .E .scoring system with stone-free status and postoperative complications were analyzed . Results In those patients with stone-free ,the S .T .O .N .E .score and bodymass index was significantly lower than that in those patients with residual stones ( P< 0 .05) . There was significant difference between the patients with stone-free and thel group with residual stones . <br> The S .T .O .N .E .score ,stone size ,tract length ,obstruction and number of calices containing stones showed significant correlationship with the postoperative stone-free status ( P<0 .05) . But ,it did not correlate with the stone essence (P>0 .05) . Conclusions The S .T .O .N .E .nephrolithometry scoring system can predict postoperative stone-free status of PCNL .