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尼日利亚阿布贾大学教学医院尿路结石的超声评估

Sonographic assessment of urolithiasis in University of Abuja Teaching Hospital, Nigeria.

作者信息

Isaac Udugh Iortyom, Idigo F U, Chinda J Y

机构信息

Department of Radiology, University of Abuja Teaching Hospital, Abuja, Nigeria.

Department of Radiography and Radiological Sciences, University of Nigeria Enugu Campus, Enugu, Nigeria.

出版信息

Ann Afr Med. 2018 Jul-Sep;17(3):106-109. doi: 10.4103/aam.aam_27_16.

Abstract

BACKGROUND

Urolithiasis may result in many complications including renal failure. There is a paucity of documented scientific study on the prevalence of urolithiasis in the University of Abuja Teaching Hospital within the Federal Capital Territory, Nigeria. The aim of the study was to assess the prevalence of urolithiasis in patients undergoing ultrasound at University of Abuja Teaching Hospital.

MATERIALS AND METHODS

This study which adopted a survey approach was conducted at the Department of Radiology, University of Abuja Teaching Hospital between June 2014 and May 2015. A total of 2310 patients that underwent abdominopelvic ultrasound in the department who aged between 2 and 64 years and met the inclusion criteria participated in the study. They were recruited using a convenience (nonprobability) sampling technique. Data obtained were subjected to descriptive statistics and analyzed using Student's t-test. P < 0.05 was considered statistically significant.

RESULTS

A total of 2310 patients were scanned, 31 patients were sonographically identified with urolithiasis. The prevalence of urolithiasis was 13.4/1000. The mean age was 31.12 ± 3.69 years. There were 58.06% males and 41.93% females giving a male-to-female ratio of 1.3:1. The peak age of incidence was 21-50 years. Majority (22 [71%]) were located in the upper urinary tract, whereas 9 (27%) were in the lower urinary tract. The most common presenting symptoms were flank/loin pains (renal colic) noted in 12 (40%) patients, followed by hematuria in 4 (13.3%) patients.

CONCLUSION

The prevalence of urolithiasis was 13.4/1000. This information can be utilized in formulating future health plans for prevention of urolithiasis in the hospitals within this locality.

摘要

背景

尿路结石可能导致包括肾衰竭在内的多种并发症。在尼日利亚联邦首都地区的阿布贾大学教学医院,关于尿路结石患病率的科学研究文献匮乏。本研究的目的是评估在阿布贾大学教学医院接受超声检查的患者中尿路结石的患病率。

材料与方法

本研究采用调查方法,于2014年6月至2015年5月在阿布贾大学教学医院放射科进行。该科室共有2310名年龄在2至64岁之间且符合纳入标准的患者接受了腹部盆腔超声检查并参与了本研究。他们采用便利(非概率)抽样技术招募。所获数据进行描述性统计,并使用学生t检验进行分析。P < 0.05被认为具有统计学意义。

结果

共对2310名患者进行了扫描,其中31名患者经超声检查确诊为尿路结石。尿路结石的患病率为13.4/1000。平均年龄为31.12 ± 3.69岁。男性占58.06%,女性占41.93%,男女比例为1.3:1。发病高峰年龄为21至50岁。大多数(22例[71%])位于上尿路,而9例(27%)位于下尿路。最常见的症状是12例(40%)患者出现侧腹/腰部疼痛(肾绞痛),其次是4例(13.3%)患者出现血尿。

结论

尿路结石的患病率为13.4/1000。该信息可用于制定该地区医院未来预防尿路结石的健康计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b853/6126051/d6b4d46c3342/AAM-17-106-g003.jpg

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