EPIDEMIOLOGY OF UROLITHIASIS IN JAPAN - A CHRONOLOGICAL AND GEOGRAPHICAL-STUDY
EPIDEMIOLOGY OF UROLITHIASIS IN JAPAN - A CHRONOLOGICAL AND GEOGRAPHICAL-STUDY
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DOI：
10.1159/000281680
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发表时间：
1990-03-01
影响因子：
1.6
通讯作者：
OKADA, Y
中科院分区：
文献类型：
--
作者：
YOSHIDA, O;OKADA, Y
继1955年和1966年的研究之后，在1965年至1987年期间在日本进行了一项关于尿石病的全国性调查，以评估在种族相对单一且生活习惯相似的日本人中尿石病的时间和地理变化，它在二战后的很短时间内发生了巨大的变化，从旧的日本模式转变为西方模式。自第二次世界大战以来，随着生活方式的日益西化和工业化，日本上尿路含钙尿结石的发病率一直在增加，尿石症的年发病率从1965年的53.8/100，000普通人群稳步增加至1985年的92.5。根据数据，5.4%的人口可能会在一生中至少发生一次尿路结石。1978年至1987年，对69，949个结石进行红外分析，结果显示79.4%为草酸钙和/或磷酸钙结石，7.4%为鸟粪石（含或不含碳酸磷灰石），5.2%为尿酸或尿酸盐，1.0%为胱氨酸。在新的治疗方式，如腔内泌尿外科手术和体外冲击波碎石术的时代，开放性手术治疗被取代的新类型的治疗在1985年约75%的情况下。
A nationwide survey on urolithiasis in Japan between 1965 through 1987 was carried out, succeeding the previous 1955 and 1966 studies, in an effort to evaluate chronological and geographical changes in urolithiasis among the Japanese people who are relatively racially homogenous and living with similar customs and habits, which have changes dramatically from the old Japanese to westernized modes in a very short period after the Second World War. Incidence of calcium-containing urinary stones in the upper urinary tract has been increasing in Jpaan since the Second World War with increasing westernization of life-style and industrialization, with the annual incidence of urolithiasis steadily increasing from 53.8/100,000 general population in 1965 to 92.5 in 1985. According to the data, 5.4% of the population may be expected to develop a urinary calculus at least once in their life time. Analysis of 69,949 stones obtained during the years from 1978 to 1987 with infrared analysis showed that 79.4% were calcium oxalate and/or calcium phosphate stones, 7.4% were struvite with or without carbonate apatite, 5.2% were uric acid or urate, and 1.0% were cystine. In the era of new treatment modalities such as the endourological surgery and the extracorporeal shock wave lithotripsy, open surgical treatments were replaced with new types of treatment in about 75% of the cases in 1985.