CAJ | 학술논문

目的探讨帕多瓦(PADUA)评分是否能预测腹腔镜肾肿瘤射频消融术(LRFA)并发症发生的风险 ,根据LRFA本身的特点 ,改良PADUA评分系统 ,使其能够更好地预测LRFA的手术风险.方法回顾性分析160例单病灶肾肿瘤腹腔镜射频消融患者的临床资料 ,根据其术前CT进行标准的PADUA评分和改良PADUA评分(m-PADUA) ,分析这两种评分与手术并发症的相关性.结果标准的PADUA评分与LRFA并发症风险无明显相关性(P=0 .307) ,而改良的 PADUA评分与之有明显相关性(P=0 .016).结论标准的PADUA评分不适用于LRFA风险的预测 ,而改良评分能较好地预测LRFA手术风险.
목적 탐토파다와(PADUA)평분시부능예측복강경신종류사빈소융술(LRFA)병발증발생적풍험 ,근거LRFA본신적특점 ,개량PADUA평분계통 ,사기능구경호지예측LRFA적수술풍험.방법 회고성분석160례단병조신종류복강경사빈소융환자적림상자료 ,근거기술전CT진행표준적PADUA평분화개량PADUA평분(m-PADUA) ,분석저량충평분여수술병발증적상관성.결과 표준적PADUA평분여LRFA병발증풍험무명현상관성(P=0 .307) ,이개량적 PADUA평분여지유명현상관성(P=0 .016).결론 표준적PADUA평분불괄용우LRFA풍험적예측 ,이개량평분능교호지예측LRFA수술풍험.
Objective To investigate whether the standard PADUA Nephrometry Score can predict complications after laparoscopic radiofrequency ablation (LRFA) ,and to explore whether the modified PADUA score system (m-PADUA) is able to predict the risks .Methods Clinical data of 160 cases undergone single lesion LRFA were retrospectively analyzed .The preoperative CT Results were evaluated with the 2 systems ,and then the correlation between the two scores and surgical complications were assessed .Results The standard PADUA Nephrometry Score had no obvious correlation with risk of com-plications (P=0 .307) ,but the modified PADUA score had a significant correlation (P=0 .016) .Conclusions LRFA is a safe and effective treatment .The standard PADUA Nephrometry Score does not apply to LRFA risk prediction ,while our modified score system can better predict LRFA operation risks .