输尿管结石发病相关因素分析  

Research on the epidemic tendency of ureterolith

作　　者：蔡运林[1] 谭光林[1] 王安果[1] 杨岳[1] 

机构地区：[1]川北医学院附属南充市中心医院,四川南充637000

出　　处：《Journal of US-China Medical Science》2009年第8期8-11,共4页美中医学（英文版）

摘　　要：目的探讨输尿管结石流行趋势，并研究输尿管结石与年龄、性别、环境等相关因素的发病关系。方法统计2006—2008年本院及协作医院输尿管结石病例，计算每年季度构成比（％）；分析病例与各相关因素的关系；了解初诊、复诊输尿管结石与各相关因素的关系。结果输尿管结石流行高峰期均为夏季。每年病例数与各相关因素之间无显着差异（P〉0．05）。输尿管结石总发病情况男多于女（1．65：1）。初诊复诊（不同停留时间和并发肾积水）输尿管结石与各相关因素关系：复诊结石女性多于男性（P〈0．005）；复诊结石农村多于城镇（P〈0．005）；结石梗阻左、右输尿管情况大致相等；梗阻部位初诊结石以输尿管下段为主，复诊结石以上段为主，二者呈极显着差异（P〈0．005）。结论输尿管结石发病与季节有关；每年发病数的季度构成比（％）大致相同；初诊、复诊输尿管结石发病与各相关因素有关。Objective To explore the epidemic tendency of the calculus of the ureter, and to study the relationship between ureterolith and the factors such as age, gender and environment. Methods Ureteral lithiasis cases in our hospital and our Collaboration Hospital from 2006 to 2008 were analyzed retrospectively. We calculated the quarterly constituent ratio, drawn the epidemic curves, and analyzed the relationship between the cases and the related factors. Results The climax of the epidemic of calculus of the ureter is in summer. No significant difference was found between the number of cases and the related factors （P〉0.05）. The total incidence of ureteral calculi in male was higher than that in female （1.65：1）. Relationship between patients with ureteral calculi （different residence time and concurrent hydronephrosis） and the relevant factors, in further-consultation cases, there are more females than males, the difference is obvious （P〈0.005）, and at the same time, further-consultation cases are more from rural than from urban （P〈0.005）. Lithous obstruction in both ureters are the same. The obstructive part of the first-visit cases is mainly in lower segment, the further-consultation cases is mainly in upper segment （P〈0.005）. Conclusions The incidence of ureteral calculi was related with the season; the curve of quarter constituent ratio （%） in every year was almost the same; the ureterolith incidence of first-visit and further-consultation patients was related with the relevant factors.

关 键 词：输尿管结石 流行病学 

分 类 号：R693.4[医药卫生—泌尿科学] R737.9[医药卫生—外科学]