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改良帕多瓦评分预测腹腔镜肾肿瘤射频消融术手术的风险

Significance of a modified PADUA nephrometry score in predicting surgical risks during laparoscopic radiofrequency ablation of renal mass
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摘要 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。 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 CTResults 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 complications（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.
作者 王鑫 赵晓智 吉鑫 蒋银锋 李笑弓 甘卫东 张古田 张士伟 郭宏骞
机构地区 东南大学医学院 南京大学医学院附属鼓楼医院泌尿外科
出处 《现代泌尿外科杂志》 CAS 2015年第7期460-463,共4页 Journal of Modern Urology
关键词 肾癌 腹腔镜射频消融术 PADUA评分 改良 并发症 renal carcinoma laparoscopic radiofrequency ablation PADUA Nephrometry Score modify surgical com-plication
分类号 R737.11 [医药卫生—肿瘤]
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参考文献18

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二级参考文献10

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共引文献11

现代泌尿外科杂志
2015年 第7期

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