改良guy’s肾结石分级法对pcnl术后结石清除率的预测及相关因素研究-prediction of stone clearance rate after pcnl by improved guy s stone classification method and study on related factors.docxVIP

ABSTRACTPurpose：Further research improved Guys grading for kidney stones PCNL after a stone free rate forecasts and related factors.Methods:The study collected a total of our department from December 2012 to December 2014 were treated 270 cases of kidney stones in patients with relevant information, All the stones underwent PCNL (Percutaneous nephrolithotomy) surgery, Preoperative KUB (Abdominal plain radiography) and CT (Computed tomography) to clear the stones of the relevant situation, Make improvements based on Guys staging of the kidney.Grade1: The anatomy of the kidney collecting system lower single normal renal calculi, The anatomy of the kidney collecting system of normal renal pelvis single calculi; Grade2a: The anatomy of the kidney collecting systemhighly single normal renal calculi；Grade2b: The anatomy of the kidney collectingsystem of normal renal multiple stones（Multiple stones scattered in 2 or more calyces）, The anatomy of the normal kidney collecting system part of the antlers of kidney stones（ 1/2 of all calyces）, Abnormal anatomy of the kidney collectingsystem of single stones; Grade3: The anatomy of the kidney collecting system abnormal renal multiple stones(Multiple stones scattered in 2 or more calyces) , partof the antlers of kidney stones （ ≥1/2 of all calyces ）， Calyx diverticulumcalculi;Grade4a: complete staghorn calculi; Grade4b:severe spinal malformation of kidney stones, Renal dysplasia with kidney stones; complete staghorn calculi and renal calyx multiple stones. Research collected before and after surgery in patients with relevant information, using SPSS19.0 statistical package for data analysis, multivariate regression analysis, to understand the risk factors related to a period after PCNL stone-free rate.Results：Grade1: 75 patients, a stone free-rate was 96%; Grade2a: 69 patients, a stone-free rate was 89.9%; Grade2b: 48 patients, a stone-free rate was 54.17%;Grade3: 36 patients, a stone-free rate was 50%; Grade4a