Rocco F, Larcher P, Mandressi A, De Cobelli O, Franchini V, Carmignani L, Baccalin A, Scardino E, Meroni T, Favini P
Arch Ital Urol Nefrol Androl. 1989 Dec;61(4):355-9.
The Authors suggest a change in their surgical classification of renal calculi to conform the description to the new techniques in the treatment of renal calculosis. Category "C" describes the morphology and topography of renal stones in five degrees (C1-C5); small letters "p, s, m, i" indicate the pelvis, superior, middle, inferior calyces; "n" and "a" symbolize stone having a size similar to or exceeding normal shaped renal cavities. "Cu" indicates ureteral calculi; small letters "l, i, p" indicate lumbar, iliac, pelvic ureteral stones. "N" describes the nature of the calculi. Category "E" stands for the excretory tract; "+" and "-" indicate the presence or absence of dilatation, the small letters "e, i" show the extra or intrarenal position of renal cavities; "no" and "o" indicate absence or presence of intrinsic obstruction of the excretory tract. "R" points out the number of surgical recurrences. Category "P" indicates the function of the parenchyma; numbers 1, 2, 3, refer to normal renal function, moderate or serious insufficiency. "U" stands for unique functional or anatomical kidney; "I" indicates the presence of infection.
作者们建议改变他们对肾结石的手术分类,以使描述符合肾结石治疗的新技术。“C”类以五个等级(C1 - C5)描述肾结石的形态和位置;小写字母“p、s、m、i”分别表示肾盂、上盏、中盏、下盏;“n”和“a”表示结石大小与正常形状的肾腔相似或超过正常形状的肾腔。“Cu”表示输尿管结石;小写字母“l、i、p”分别表示腰段、髂段、盆腔段输尿管结石。“N”描述结石的性质。“E”类代表排泄系统;“+”和“-”表示有无扩张,小写字母“e、i”分别表示肾腔的肾外或肾内位置;“no”和“o”表示排泄系统有无内在梗阻。“R”指出手术复发次数。“P”类表示实质的功能;数字1、2、3分别指正常肾功能、中度或重度肾功能不全。“U”代表单功能或解剖学上的孤立肾;“I”表示存在感染。