【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。更多还原

【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.更多还原