河南省泌尿系结石住院患者流行病学特点及分析

王友铭; 许长宝; 王晓甫; 刘昌伟; 乔庆东; 王雷; 沙文; 朱朝阳

doi:10.13201/j.issn.1001-1420.2021.06.007

河南省泌尿系结石住院患者流行病学特点及分析

- 1. 郑州大学第二附属医院泌尿外科郑州, 450014);
- 2. 新乡市中心医院泌尿外科;
- 3. 商丘市第一人民泌尿外科;
- 4. 濮阳市油田总医院泌尿外科;
- 5. 河南大学淮河医院泌尿外科

详细信息

通讯作者: 许长宝,E-mail:xcb1966@126.com

中图分类号: R691.4

收稿日期: 2020-12-01

Epidemiological characteristics and analysis of hospitalised patients with urinary tract stone in Henan province

- 1. Department of Urology, Second Affiliated Hospital of Zhengzhou University, Zhengzhou, 450014, China;
- 2. Department of Urology, Xinxiang Central Hospital;
- 3. Department of Urology, First People's Hospital of Shangqiu;
- 4. Department of Urology, Puyang Oilfield General Hospital;
- 5. Department of Urology, Huaihe Hospital of Henan University

More Information

Corresponding author: XU Zhangbao, E-mail: xcb1966@126.com

Received Date: 01 December 2020

摘要

摘要: 目的:调查河南省泌尿系结石住院患者的流行病学特点,探讨泌尿系结石流行病学特征。方法:根据整群抽样的方法,按地区分布(豫东、豫西、豫南、豫北以及中部地区)抽取河南省21家不同级别的医院作为研究对象,收集2016年1月—2018年12月期间泌尿外科住院治疗的结石患者的临床资料,包括年龄、性别、结石部位、结石负荷、结石成分、手术方式等数据,并进行统计学分析。结果:3年间21家医院泌尿外科共收治患者58 811例,其中以泌尿系结石为主诊断的患者16 921例,占同期泌尿外科住院人数的28.77%。16 921例中,男11 218例(66.30%),女5703例(33.70%),男女比例约为1.97∶1。发病年龄高峰段为41~60岁,共8143例,所占比例为48.12%。发病率最高的职业为农民,共9476例(55.23%)。上尿路结石16 025例,下尿路结石896例,上、下尿路结石比例为17.89∶1。多发部位结石2844例(16.81%),单发部位结石14 077例(83.19%),单发部位病例中输尿管结石8798例(51.99%),肾结石4383例(25.90%)。结石成分分析结果提示混合性成分最多,占比67.78%(1805/2663),单一成分占比约32.22%(858/2663)。手术方式上采用最多的为输尿管硬镜碎石术6245例(41.44%);其次是输尿管软镜碎石术3601例(23.90%);经皮肾镜取石术2489例(16.52%)。结论:河南省2016—2018年泌尿系结石住院患者占同期泌尿外科总住院患者的构成比为28.77%,男性多于女性,高发年龄段为41~60岁,职业以农民为主,上、下尿路结石比例为17.89∶1,输尿管结石最多见,结石成分以混合性成分结石占比最高,手术方式采用最多的为输尿管硬镜碎石术。
- 流行病学 /
- 河南省 /
- 泌尿系结石 /
- 结石成分
Abstract: Objective: To investigate the epidemiological characteristics of inpatient with urinary calculi in Henan province, explore the epidemiological characteristics of urinary calculi.Methods: According to the geographical distribution(east of Henan, west of Henan, south of Henan, north of Henan, as well as central of Henan), 21 unequal hospitals as subjects of the study were selected. At the same time, the medical records such as age, sex, stone position, stone burden, type of surgical procedure, stone composition and so on, were retrospectively investigated between January 2016 to December 2018. Statistical method was used to calculate.Results: In the past three years, 58 811 patients were treated in these hospitals, a total of 16 921 cases of urinary calculi were collected. It accounted for 28.77% of the inpatients of urology department in the same period. Among them, male patients accounted for 11 218(66.30%) and 5703 were females(33.70%). The ratio of males to females was about 1.97∶1. The incidence rate varies from age to age, with the peak age ranging from 41 to 60 years old with 8143 cases(48.12%). The most significant morbidity occupation was farmer, accounting for 9476(55.23%). There were 16 025 cases of upper urinary tract stones and the others were lower urinary tract stones. Ratio of upper and lower urinary tract stone was 17.89∶1. The proportion of stone in multiple sites was 16.81%(2844/16 921). Among the stones in single site, the proportion of ureteral calculi was 51.99%(8798/16 921), comparing with renal calculus 25.90%(4383/16 921). The results of stone composition analysis indicate that the mixed components were the most, and the proportion was 67.78%(1805/2663). The single component accounted for 32.22%(858/2663). As for the choice of operation, 6245 cases of rigid ureteroscopy were the most frequently operated, the second was flexible ureteroscopy with 3601 cases, the rest was PCNL, which accounted for 2489 cases, and so on.Conclusion: From 2016 to 2018, the proportion of inpatients with urinary calculi in Henan province was 28.77%, and males are more than females. The age of high incidence is 41 to 60 years old, and the occupation is mainly farmers. Ureteral stones are the most common, and the proportion of mixed component stones is the highest.
- epidemiology /
- Henan province /
- urinary calculus /
- stone composition

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