南江县285例经腔镜治疗尿路结石患者的流行病学调查

doi:10.19558/j.cnki.10-1020/r.2021.05.007

摘要
图/表
参考文献
相关文章 (0)

全文: PDF (1025 KB) RICH HTML
输出: BibTeX | EndNote (RIS)

摘要 目的:探讨四川南江县人民医院经腔镜治疗尿路结石的构成情况,为泌尿系结石的病因诊断、临床治疗及其预防提供参考依据。方法:回顾性分析2018年1月–2019年8月南江县人民医院收治285例泌尿系结石患者的数据（患者的性别、年龄、结石部位及结石成分）,并按年龄进行分组,进行多因素统计分析。结果:本研究中,男性患者明显多于女性,二者的比例为1.61∶1。结石发病年龄以50~59岁龄段所占构成比最高（27.72%）,其次是40~49岁（23.86%）和60~70岁年龄段(22.11%)。上尿路结石明显多于下尿路,40~59岁年龄段主要以输尿管结石为主(53.7%,P<0.05),其次为肾结石（44.2%,P<0.05）;≥60岁年龄段主要以肾结石为主（59.6%,P<0.05）,其次是输尿管结石（31.9%,P<0.05）。结石患者的地域分布上,以集州街道（为城区所在地,南江镇和东榆镇合并而成）的结石患者数量为多,占总数的 30.53%;以长赤镇和正直镇的结石患者次之,占患者总数的12.28%和10.88%。285例患者中,以混合性结石居多,以一水草酸钙+二水草酸钙最多（31.9%）,其次为一水草酸钙+二水草酸钙+碳酸磷灰石（21.4%）,不同年龄段主要结石成分构成有差异。结论:四川南江地区为泌尿系结石的高发地区,男性多于女性,结石以混合性结石为主,单一成分偏少,发病情况存在年龄差异性。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	张文斌
	汪海龙
	张宗平
	王安果
	伍季

关键词 ：单中心, 经腔镜, 结石成分分析

Abstract：Objective: To investigate the constitution of urinary calculi treated by endoscopy in nanjiang people's hospital of sichuan province, and to provide reference for the etiology diagnosis, clinical treatment and prevention of urinary calculi. Methods: data of 285 patients with urological calculi admitted to nanjiang people's hospital from January 2018 to August 2019 （gender, age, stone location and stone composition of the patients） were retrospectively analyzed, and grouped according to the corresponding data. A database was established in Excel for multivariate statistical analysis. Results: in this study, male patients were significantly more than female patients, with a ratio of 1.61：1. The incidence age of calculi was 50-60 years old （27.72%）, followed by 40~50 years old （23.86%） and 60-70 years old （22.11%）. The upper urinary calculi were significantly more than the lower urinary calculi. The majority of patients <20 years old and 20-39 years old were renal calculi （75% and 50%, respectively）. The majority of patients aged 40-59 years old were ureteral calculi （53.7%）, followed by renal calculi （44.2%）. Kidney stones （59.6%）, ureteral stones （31.9%）, and bladder stones （8.5%） were the most common in patients aged ≥60 years. In terms of geographical distribution of stone patients, the number of patients in Jizhou Street （which is the location of the urban area and the merger of Nanjiang town and Dongyu town） is the largest, accounting for 30.53% of the total; The patients in Changchi town and Zhengzheng town took the second place, accounting for 12.28% and 10.88% of the total number of patients.Among the 285 patients, mixed calculi were the most common, calcium oxalate monohydrate + calcium oxalate dihydrate were the most common （31.9%）, followed by calcium oxalate monohydrate + calcium oxalate dihydrate + apatite carbonate （21.4%）. The composition of major calculi in different age groups was different. Conclusion: nanjiang area of sichuan province is an area with a high incidence of urinary calculi, with more males than females. Mixed calculi are the main form of calculi, with few single components and age difference in the incidence. According to the distribution characteristics of calculi in this area, it can provide reference for preventing recurrence of calculi of permanent residents in this area.

Key words： Unicenter endoscopic calculus component analyzed

收稿日期: 2019-12-26

基金资助:1.四川省卫生和计划生育委员会适宜推广项目（18SYJS15）; 川北医学院校级科研发展计划项目（CBY16-A-BY-40）

通讯作者: 汪海龙,wanghailong136164@163.com

引用本文:

张文斌, 汪海龙, 张宗平, 王安果, 伍季. 南江县285例经腔镜治疗尿路结石患者的流行病学调查[J]. 微创泌尿外科杂志, 2021, 10(5): 321-325.
Zhang Wenbin, Wang Hailong, Zhang Zongping, Wang Anguo, Wu Ji. Epidemiological investigation of 285 patients with urinary calculi treated by endoscopy in Nanjiang County. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2021, 10(5): 321-325.

链接本文:

http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1704.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2021/V10/I5/321

[1] SOROKIN I, MAMOULAKIS C, MIYAZAWA K, et al.Epidemiology of stone disease across the world. World J Urol, 2017,35(9):1301-1320.
[2] KITTANAMONGKOLCHAI W, VAUGHAN LE, ENDERS FT, et al.The changing incidence and presentation of urinary stones over 3 decades. Mayo Clin Proc, 2018,93(3):291-299.
[3] 解明,王云炎,苏敬怡,等.多模式下健康宣教对泌尿系结石患者术后机体状况和结石复发率的影响.中华腔镜泌尿外科杂志(电子版),2020,14(6):434-438.
[4] 邓华,杨义,陆丽兰,等.结石类型与年龄、性别的相关性研究.临床泌尿外科杂志,2018,33(12):968-971.
[5] 汪海龙,张宗平,王安果,等.X线与超声在经皮肾镜治疗复杂性肾结石中的应用比较.中华腔镜泌尿外科杂志(电子版),2019,13(2):108-111.
[6] 梁东彦,李巧星,邵军,等.影响微创经皮肾取石术清石效果的相关因素分析.临床泌尿外科杂志,2016,31(7):610-612,615.
[7] 王俊,杨登科,焦湘,等.豫南地区尿路结石的成分分析.临床泌尿外科杂志,2019,34(1):60-63.
[8] KUPAJSKI M, TKOCZ M, ZIAJA D.Modern management of stone disease in patients with a solitary kidney. Wideochir Inne Tech Maloinwazyjne, 2012,7(1):1-7.
[9] 叶章群. 泌尿系结石研究现况与展望.中华实验外科杂志,2005,22(3):261-262.
[10] 吕建林. 枸橼酸氢钾钠防治泌尿系结石的研究进展.实用临床医药杂志,2020,24(21):118-123.
[11] BOYCE CJ, PICKHARDT PJ, LAWRENCE EM, et al.Prevalence of urolithiasis in a symptomatic adult:objective determination using lose dose noncontrast computerized tomogrphy. Urol, 2010,183(3):1017-1021.
[12] DEL VALLE EE,SPIVACOW FR,NEGRI AL.[Citrate and renal stones]. Medicine, 2013,73(4):363-368.
[13] 汪海龙,张宗平,王安果,等.单中心经腔镜上尿路结石成分分析.川北医学院学报,2020,35(2):276-279.
[14] 朱蜀侠,王宇,胥艳,等.川西地区500例泌尿系结石成分构成及相关因素分析.临床泌尿外科杂志,2014,29(4):337-341.
[15] WU WQ, YANG BC, OU LL, et al.Urinary stone analysis on 12,846 patients: a report from a single center in China. Urolithiasis, 2014,42(1):39-43.
[16] 邓耀良,陶芝伟,王翔.含钙肾结石复发的危险因素及个体化防治策略.临床泌尿外科杂志,2018,33(2):85-88.
[17] 晏锡泉,李进,易鑫渝,等.湘潭地区单中心泌尿系结石成分分析及临床研究.临床泌尿外科杂志,2020,35(4):282-286.
[18] 柯卓丽,孙丹丹,陈雪莲.泌尿系结石患者饮食营养认知的调查分析.中华腔镜泌尿外科杂志(电子版).2020,14(3):208-211
[19] 李朋,高存祥,王勤章,等.探讨钙敏感受体及紧密连接蛋白-14在大鼠肾草酸钙结石形成中的作用.川北医学院学报,2018,33(6):811-814.
[20] 邓华,杨义,陆丽兰,等.泌尿系结石类型与高尿酸血症的相关性研究.国际泌尿系统杂志,2020,40(4):639-642.