Ripa Saldias L, Delpon Pérez E, Romero Fernández F J
Servicio de Urología, Hospital Reina Sofía, Tudela, Navarra.
Actas Urol Esp. 1995 Jun;19(6):459-66.
An epidemiological study on the lithiatic disease (LD) was conducted in 'La Ribera de Navarra' over a two year-period, based on the series from the Reina Sofia Hospital in Tudela. Between May 1988 and May 1990 we gathered 785 cases. This paper analyzes the hospitalization incidence, risk factors such as age, sex, familial and personal background of lithiasis, consumption of drugs., etc. A description is made of the geographical, geological, climatic conditions, composition of water, and other characteristics, as well as the clinical features. Incidence of LE in this Area V of Navarra is high, 5.1 per thousand inhabitants/year, being uncommon in children but frequent in adults: 7.92 per thousand men/year and 4.97 per thousand women/year, with a male/female ratio of 1.52. There is a predominance of women over the early decades of life, the M/F ratio being 0.40 for the 15-24 years range. 19.61% of patients have a familial background of LE, the father being the most affected relation. Around 53.79% have been affected by LE. The factor most commonly correlated to frequency is the distance to the hospital and the rate of admission to the emergency service by area. No correction was noted to water hardness or weather differences. The greater incidence takes place during the summer and the lowest in the autumn.
基于图德拉雷纳索菲亚医院的病例系列,在两年时间里对纳瓦拉河畔地区的结石病(LD)进行了一项流行病学研究。1988年5月至1990年5月期间,我们收集了785例病例。本文分析了住院发病率、年龄、性别、结石的家族和个人背景、药物消费等风险因素。描述了地理、地质、气候条件、水的成分及其他特征,以及临床特征。纳瓦拉第五区的结石病发病率较高,为每年每千名居民5.1例,在儿童中不常见,但在成年人中很常见:每年每千名男性7.92例,每年每千名女性4.97例,男女比例为1.52。在生命的最初几十年中女性占主导地位,15 - 24岁年龄段的男女比例为0.40。19.61%的患者有结石病家族史,父亲是受影响最严重的亲属关系。约53.79%的人曾患结石病。与发病率最常相关的因素是到医院的距离以及各地区急诊服务的入院率。未发现水硬度或天气差异的校正情况。发病率在夏季最高,秋季最低。