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阿尔及利亚西部成人尿路结石病:1104例病例研究。

Adult urolithiasis in Western Algeria: a study of 1104 cases.

作者信息

Abbassene Fatiha, Maizia Abdelkader, Messaoudi Nadia, Bendahmane Leila, Boukharouba Hafida, Daudon Michel, Addou Ahmed

出版信息

Tunis Med. 2020 May;98(5):396-403.

PMID:32548843
Abstract

INTRODUCTION

Urolithiasis is a health problem that is increasing all over the world as in Algeria, but with scarce local data.

AIM

To determine, for the first time, the epidemiological characteristics of urolithiasis in western Algeria.

METHODS

We determined the socio-demographic parameters, the clinical data, and those related to stones of 1104 adult stone formers (2012-2019).

RESULTS

We confirmed the higher prevalence of urolithiasis among males (sex-ratio=1.9). Stone formers were overweight or obese in 57.2% of cases, 56.7% were living in urban areas and 53.1% had a poor educational level. The rate of consanguinity was 25% and 33.9% had a family history. Stone recurrence was 51.1% and 89% of stones were located in the upper urinary tract. Spontaneous expulsion was the most frequent way of elimination (51.9%), open surgery was used in 19.7%, while 15.5% resorted to endourology or extracorporeal shock wave lithotripsy. The predominant component of stones was calcium oxalate (75%), followed by calcium phosphates (8.9%) and uric acid (10.2%). Struvite (urinary infection indices) was in 3.4% of stones but detected in 16.9% and cystine was found in 1%. Males had a higher educational level, a higher consanguinity rate, and more recurrences than females.

CONCLUSION

The epidemiologic profile coming out of this study is close to those described in Maghreb and in industrialized countries. Our data showed that there is an improvement of the socio-economical level, but modern techniques of stone removal should be used more, as well as change in lifestyle.

摘要

引言

尿路结石是一个在全世界包括阿尔及利亚都呈上升趋势的健康问题,但当地数据稀缺。

目的

首次确定阿尔及利亚西部尿路结石的流行病学特征。

方法

我们确定了1104例成年结石患者(2012 - 2019年)的社会人口统计学参数、临床数据以及与结石相关的数据。

结果

我们证实男性尿路结石患病率更高(性别比 = 1.9)。57.2%的结石患者超重或肥胖,56.

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1
Adult urolithiasis in Western Algeria: a study of 1104 cases.阿尔及利亚西部成人尿路结石病:1104例病例研究。
Tunis Med. 2020 May;98(5):396-403.
2
Obesity and urolithiasis: evidence of regional influences.肥胖与尿石症:区域影响的证据
Urolithiasis. 2017 Jun;45(3):271-278. doi: 10.1007/s00240-016-0908-3. Epub 2016 Aug 3.
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[Urinary stones in Western Algeria: study of the composition of 1,354 urinary stones in relation to their anatomical site and the age and gender of the patients].[阿尔及利亚西部的尿石症:对1354例尿石成分与其解剖部位、患者年龄及性别的相关性研究]
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[Clinical characteristics of urolithiasis with stone analysis conducted over a 26-year period].[26年期间进行结石分析的尿石症临床特征]
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Epidemiology and risk factors in urolithiasis.尿石症的流行病学及危险因素
Urol Int. 2007;79 Suppl 1:3-7. doi: 10.1159/000104434.
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[Composition of 359 kidney stones from the East region of Algeria].[来自阿尔及利亚东部地区的359颗肾结石的成分分析]
Prog Urol. 2016 Jan;26(1):41-9. doi: 10.1016/j.purol.2015.09.017. Epub 2015 Nov 1.
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[Urolithiasis in children in West Algeria].[阿尔及利亚西部儿童的尿路结石病]
Ann Urol (Paris). 1997;31(2):84-8.
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Epidemiological profile, mineral metabolic pattern and crystallographic analysis of urolithiasis in Kuwait.科威特尿路结石病的流行病学概况、矿物质代谢模式及晶体学分析
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Effect of BMI and urinary pH on urolithiasis and its composition.体重指数和尿液酸碱度对尿路结石及其成分的影响。
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Pediatric urolithiasis in Morocco: Composition of 432 urinary calculi analyzed by infrared spectroscopy.摩洛哥小儿尿路结石:432 例尿结石成分的红外光谱分析
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