四川医学2026，Vol.47Issue(5)：486-490,5.DOI:10.16252/j.cnki.issn1004-0501-2026.05.002
3D可视化技术在预测输尿管软镜碎石术后清石率的应用
Application of 3D Visualization Technology in Predicting Stone-Free Rates Following Flexible Ureteroscopic Litho-tripsy
摘要
Abstract
Objective To compare the value of 3 D visualization technology versus CT non-contrast three-dimensional re-construction in the modified S.T.O.N.E.,S.O.L.V.E.,and SHA.LIN scoring systems for predicting stone-free rates(SFR)af-ter flexible ureteroscopic lithotripsy.Methods Clinical data from 163 patients with renal stones treated at our hospital between January and December 2024 were retrospectively analyzed.Preoperative 3D imaging and CT three-dimensional reconstruction were performed based on non-contrast CT scans,dividing patients into a 3D visualization group and a CT reconstruction group.Both groups were assessed using modified S.T.O.N.E.,S.O.L.V.E.,and SHA.LIN scores.Receiver operating characteristic(ROC)curves were plotted to analyze the predictive efficacy for stone clearance,and the area under the curve(AUC)was compared be-tween the two groups under identical scoring criteria.Results The overall stone-free rate(SFR)was 82.8％.Patients achieving stone-free status had significantly lower preoperative modified S.T.O.N.E.,S.O.L.V.E.,and SHA.LIN scores than those with residual stones(P＜0.05).The AUC values for all three scoring methods were significantly higher in the 3D visualization group than those in the CT reconstruction group(P＜0.05).Conclusion 3 D visualization technology outperforms CT three-dimensional reconstruction across all three scoring systems in predictive efficacy and demonstrates superior advantage in predicting SFR after flexible ureteroscopic lithotripsy.关键词
3D可视化技术/改良S.T.O.N.E评分/S.O.L.V.E评分/SHA.LIN评分/清石率/肾结石Key words
3D visualization technology/modified S.T.O.N.E.score/S.O.L.V.E.score/SHA.LIN score/stone-free rate/renal stone分类
医药卫生引用本文复制引用
田义阳,李涵,席勇,杨杰,秦鑫,胡渫枫,唐永斌,李代春,尹勇..3D可视化技术在预测输尿管软镜碎石术后清石率的应用[J].四川医学,2026,47(5):486-490,5.基金项目
成都市科技计划项目(编号:2024-YF05-00916-SN) （编号:2024-YF05-00916-SN）
