Nhận xét mối liên quan giữa hình ảnh thận và sỏi thận trên cắt lớp vi tính với kết quả tán sỏi qua da tại Bệnh viện Đa khoa tỉnh Ninh Bình năm 2024

Abstract

Objective:  Assessment of the correlation between computed tomography findings of the kidney and nephrolithiasis, and the outcomes of percutaneous nephrolithotomy at Ninh Binh Provincial General Hospital in 2024. Subject and method: A cross-sectional descriptive study was conducted on 103 patients with kidney stones who underwent contrast-enhanced computed tomography prior to percutaneous nephrolithotomy at Ninh Binh Provincial General Hospital from January 1, 2024 to September 30, 2024. Result: In the stone surface area groups of < 400mm² and ≥ 1600mm², the residual stone rates were 8.3% and 66.7%, respectively, with a statistically significant difference (p<0.05). Similarly, the rate of bleeding-related complications was higher in the ≥ 1600mm² group compared to the < 400mm² group (50% vs. 0%), and this difference was also statistically significant. There was no correlation between stone density and operative time. There was no association between the degree of hydronephrosis and the residual stone rate. There was a correlation between the S.T.O.N.E. score and both residual stone rate and bleeding complications; the higher the S.T.O.N.E. score, the higher the rates of residual stones and bleeding. Conclusion: Computed tomography findings of the kidney and nephrolithiasis characteristics are correlated with the result of percutaneous nephrolithotomy and play a critical role in preoperative evaluation, helping surgeons to more accurately anticipate the surgical outcome.