韩国人群中尿路结石病的近期外科治疗：全国基于人群的研究。

Recent surgical treatments for urinary stone disease in a Korean population: National population-based study.

机构信息

Department of Urology, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.

Department of Urology, Sungkyunkwan University Kangbuk Samsung Hospital, Seoul, Korea.

出版信息

Int J Urol. 2019 May;26(5):558-564. doi: 10.1111/iju.13928. Epub 2019 Feb 25.

DOI:10.1111/iju.13928

PMID:30803067

Abstract

OBJECTIVES

To provide surgical treatment trends for urinary stone disease in Korea.

METHODS

We analyzed medical service claim data of surgical treatments to urinary stone disease submitted by medical service providers from the Health Insurance Review and Assessment Service from 2009 to 2016.

RESULTS

There was a significantly increasing trend among outpatients and inpatients for urinary stone disease from 2009 to 2016 (R = 0.643, P = 0.017; R = 0.575, P = 0.029). The number of shock wave lithotripsy for treating urinary stone disease increased by 16% from 89 553 in 2009 to 104 013 in 2016 (R = 0.684). The number of ureteroscopic lithotripsy increased by 97% from 6106 in 2009 to 12 057 in 2016 (R = 0.99). The number of flexible ureteroscopic lithotripsy increased by 16-fold from 219 in 2009 to 3712 in 2016 (R = 0.756). The number of percutaneous nephrolithotomy increased by 99.7% from 919 in 2009 to 1835 in 2016 (R = 0.987). The use of non-contrast and contrast-enhanced computed tomography in the diagnostic codes for urinary stone disease increased by 394.8% and 263.3% from 2009 to 2016, respectively (R = 0.83; R = 0.967). Conversely, the use of intravenous pyelography decreased 26.2% over the same period (R = 0.945).

CONCLUSIONS

Outpatient and inpatient procedures for urinary stone disease have increased over the past 8 years in Korea. Shock wave lithotripsy is the most widely used treatment modality for urinary stone disease, and endoscopic surgical procedures are rapidly being implemented. There has been a steep increase in the use of computed tomography, whereas conventional intravenous pyelography is declining.

摘要

目的

提供韩国尿路结石病的外科治疗趋势。

方法

我们分析了医疗服务提供者向健康保险审查和评估服务机构提交的 2009 年至 2016 年尿路结石病外科治疗的医疗服务索赔数据。

结果

2009 年至 2016 年，尿路结石病的门诊和住院患者数量呈显著上升趋势（R = 0.643，P = 0.017；R = 0.575，P = 0.029）。2009 年至 2016 年，冲击波碎石术治疗尿路结石病的数量增加了 16%，从 89553 例增至 104013 例（R = 0.684）。输尿管镜碎石术的数量增加了 97%，从 2009 年的 6106 例增至 2016 年的 12057 例（R = 0.99）。软性输尿管镜碎石术的数量增加了 16 倍，从 2009 年的 219 例增至 2016 年的 3712 例（R = 0.756）。经皮肾镜取石术的数量增加了 99.7%，从 2009 年的 919 例增至 2016 年的 1835 例（R = 0.987）。2009 年至 2016 年，尿路结石病诊断代码中使用非增强和增强 CT 的比例分别增加了 394.8%和 263.3%（R = 0.83；R = 0.967）。相反，静脉肾盂造影的使用在此期间下降了 26.2%（R = 0.945）。