某院2008—2017年泌尿系结石病例分析

Analysis of urinary stone cases in a hospital from 2008 to 2017

目的调查皖南医学院第一附属医院2008—2017年因泌尿系结石住院患者的病例情况,为我院规范化治疗制定合理的治疗方案,为优化医疗资源提供理论基础。方法根据国际疾病分类(ICD-10)标准,收集我院2008—2017年泌尿系结石病住院患者的病例信息。用Excel 2016版软件整理病人的临床资料,并采用SPSS 17.0软件对数据进行统计分析。结果我院近10年泌尿系结石病住院病例中,主要发病年龄在31～60岁之间,41～50岁之间的发病率最高;泌尿系结石住院患者各个年龄段中均以肾结石发病率最高,输尿管结石次之,差异具有统计学意义(P <0.001);在泌尿系结石病住院患者中男性高于女性,差异无统计学意义(P>0.05),治疗方式以经皮肾镜手术(PCNL)以及输尿管镜碎石术(URL)为主,差异具有统计学意义(P <0.001)。结论我院近10年泌尿系结石病患者主要分布在中老年年龄阶段,且男多于女,其中以肾结石最为常见,治疗方式以内镜取石治疗为主。

Objective To investigate the records of inpatients with urinary stone in the First Affiliated Hospital of Wannan Medical College from 2008 to 2017,so as to formulate reasonable treatment plans for standardized treatment in our hospital and provide theoretical basis for optimizing medical resources.Methods According to he international classification of diseases (ICD-10) standard,we collected case information of hospitalized patients with urinary stone in our hospital from 2008 to 2017.Excel 2016 software was used to sort out the clinical data of patients,and SPSS 17.0 software was used for statistical analysis of the data.Results Among the hospitalized patients with urolithiasis in our hospital in recent 10 years,the disease population mainly aged 31 to 60 years old,and the highest incidence of urolithiasis occurred in the population aged 41 to 50 years old.The highest incidence was renal calculi among inpatients with urinary calculi at all ages,followed by ureteral calculi,there was statistical difference (P<0.001).Among hospitalized patients with urolithiasis,the number of male patients was higher than that of female patients,there was no statistical difference (P> 0.05).The main treatment methods were percutaneous nephrolithotomy (PCNL) and ureteroscopy lithotripsy (URL),there was statistical difference (P<0.001).Conclusion Patients with urolithiasis in our hospital in the recent 10 years are mainly distributed in the middle and old age population,and urolithiasis occurs more frequently in males than females.Of all the patients,the most common urolithiasis is kidney stone,and endoscopic lithotomy is the main treatment method.