上尿路结石成人患者单双侧发病部位的对比研究  

A comparative study of the diseased locations of unilateral and bilateral upper urinary tract stones in adult patients

作　　者：黄效维 HUANG Xiao-wei(Department of Nephrology,Panyu Hospital of Chinese Medicine,Guangdong Province,Guangzhou511400,China)

机构地区：[1]广州市番禺区中医院肾内科,广东广州511400

出　　处：《中国当代医药》2020年第36期80-83,共4页China Modern Medicine

摘　　要：目的了解上尿路结石成人患者单双侧发病部位存在的差异。方法选取广州市番禺区中医院2019年1~10月确诊的447例上尿路结石的成年患者作为研究对象,通过问卷调查记录患者日常生活饮食习惯及结石部位。结果男性双侧上尿路结石患病率(44.7%)高于女性(28.8%),差异有统计学意义(P<0.05);男性双侧上尿路结石患病率较左侧或右侧结石高(SR=3.5,|SR|>3),差异有统计学意义(P<0.05);两性单侧上尿路结石以左侧较多,但差异无统计学意义(P>0.05);男性双侧上尿路结石患病危险高于女性(RR=1.555,95%CI=1.207~2.002,P<0.05)。结论成人患者单侧上尿路结石患病率较双侧高;单侧上尿路结石患者,左侧较右侧多见;男性双侧上尿路结石患病率较女性高。提示性别差异可能是影响肾结石的形成和进展的因素之一。Objective To understand the differences of the diseased locations in adults with unilateral or bilateral upper urinary tract stones.Methods From January to October 2019,447 adult outpatients diagnosed with upper urinary tract stones in Panyu Hospital of Chinese Medicine were enrolled as the study sample.The questionnaire was used to record patients′daily eating habits and calculus location.Results The prevalence of bilateral upper urinary tract stones in males(44.7%)was higher than that in females(28.8%),the difference is statistically significant(P<0.05);the prevalence of bilateral upper urinary tract stones in males was higher than left or right side stones(SR=3.5,|SR|>3),and the difference is statistically significant difference(P<0.05);in the unilateral upper urinary tract stones cases in both sexes,the left side was more common,but there was no significant difference(P>0.05);the risk of bilateral upper urinary tract stones in male was significantly higher than female(RR=1.555,95%CI=1.207-2.002,P<0.05).Conclusion The prevalence of unilateral upper urinary tract stones in adult patients is higher than bilateral;the left side stones are more common than the right side in the unilateral upper urinary tract stones patients;the prevalence of bilateral calculi in males is higher than females.It suggests that gender differences could be one of the factors that affect the formation and progression of kidney stones.

关 键 词：成人 上尿路结石 发病部位 性别因素 

分 类 号：R699[医药卫生—泌尿科学]