[血吸虫病与尿石症：加布里埃尔·图雷医院23例病例研究]

[Bilharziasis and urinary lithiasis: a study of 23 cases at the Gabriel Toure Hospital].

作者信息

Coulibaly Y, Ouattara Z, Togo A, Konate M, Ouattara M, Ouattara K

出版信息

Mali Med. 2011;26(1):26-8.

PMID:22953337

Abstract

AIMS

Describe the clinical and therapeutic aspects of urinary stone on bilharziosis in the teaching hospital Gabriel Toure.

METHOD

It was about a prospective study done from January 1st to December 31, 2007 on all patients presenting a urinary stone with history of bilharziosis treated in the service of urology at the teaching hospital Gabriel Toure. Lost patients during the study were not included.

RESULTS

We brought together 23 cases of urinary stone on history of urinary bilharziosis. The mean age of our patients was 31 years with extreme of 10 and 64 years. Sex-ratio was 22 for men. Renal colic was the most frequent motive of consultation (30.4%). Fiver has been detected in 56.5% of cases.Stone has a renal localisation in 10 patients (43.5%), ureteral in 9 patients (39.1%) and vesical in 4(17.4%). Urine analysis has found following germs: Schistosoma haematobium (4 cases), positive cocci gram (3 cases), Enterococcus faecalis (1 case) and negative cocci gram (1 case). Moderate renal insufficiency has been detected in 4 patients (17.4%). Treatment has been surgical in 21 patients(91.3%). Nephrolithotomy was done in 7 patients (33.3%), ureterolithotomy in 7 others, cystolithotomyin 3 patients (14.3%), nephrectomy in 2 patients (9.5%), uretero-vesical reimplantation in 2 others.

CONCLUSION

The assessment of bilharziosis may decrease the frequency and prevent numerous and disastrous complications of urinary bilharziosis.

摘要

目的

描述加布里埃尔·图雷教学医院中血吸虫病合并尿路结石的临床及治疗情况。

方法

这是一项前瞻性研究，于2007年1月1日至12月31日对加布里埃尔·图雷教学医院泌尿外科收治的所有有血吸虫病史且患有尿路结石的患者进行。研究期间失访的患者未纳入。

结果

我们收集了23例有尿路血吸虫病史的尿路结石病例。患者的平均年龄为31岁，年龄范围在10岁至64岁之间。男女比例为22∶1（男性居多）。肾绞痛是最常见的就诊原因（30.4%）。56.5%的病例检测到发热。结石位于肾脏的有10例患者（43.5%），位于输尿管的有9例患者（39.1%），位于膀胱的有4例患者（17.4%）。尿液分析发现以下病菌：埃及血吸虫（4例）、革兰氏阳性球菌（3例）、粪肠球菌（1例）和革兰氏阴性球菌（1例）。4例患者（17.4%）检测到中度肾功能不全。21例患者（91.3%）接受了手术治疗。7例患者（33.3%）进行了肾切开取石术，另外7例进行了输尿管切开取石术，3例患者（14.3%）进行了膀胱切开取石术，2例患者（9.5%）进行了肾切除术，另外2例进行了输尿管膀胱再植术。