Abbassene Fatiha, Maizia Abdelkader, Messaoudi Nadia, Bendahmane Leila, Boukharouba Hafida, Daudon Michel, Addou Ahmed
Tunis Med. 2020 May;98(5):396-403.
Urolithiasis is a health problem that is increasing all over the world as in Algeria, but with scarce local data.
To determine, for the first time, the epidemiological characteristics of urolithiasis in western Algeria.
We determined the socio-demographic parameters, the clinical data, and those related to stones of 1104 adult stone formers (2012-2019).
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.
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.
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。
首次确定阿尔及利亚西部尿路结石的流行病学特征。
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。
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.