ナイジェリア の 東南 部 で の 腎臓 と 尿道 の 生まれつき の 異常: コンピューター トモグラフィー スキャン の 発見
S K Anyimba1, E K Mgbe2, O M Mbadiwe1
1Department of Surgery, College of Medicine, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria.
Nigerian journal of clinical practice
|August 30, 2025
まとめ
腎臓と尿路の先天性異常 (CAKUT) は,アフリカ人黒人の3. 5%に影響します. 骨盤関節の阻害はCTスキャンで確認された最も一般的な異常でした.
科学分野:
- 泌尿器科
- 放射線科
- 公衆衛生
背景:
- アフリカの集団における腎臓と尿路の先天性異常 (CAKUT) に関するデータは限られている.
- CAKUTの流行を理解することは 地域の公衆衛生イニシアチブにとって 極めて重要です
研究 の 目的:
- CAKUTの流行,パターン,分布を決定する.
- アフリカの黒人集団におけるコンピュータトモグラフィー (CT) スキャンの CAKUT 発見を分析する.
主な方法:
- ナイジェリア南東部のエヌグーで行った後見調査.
- 腹腔皮質CTスキャンとCT尿図の分析3507人 (2015年1月から2024年12月まで)
- SPSS バージョン 27.0 を用いた統計分析
主要な成果:
- CAKUTの流行率は3. 5% (95%CI: 2. 9- 4. 1%) であった.
- 盆腔交差点 (PUJ) の阻害が最も頻繁な異常であった (1. 28%),次に二重集積システムであった.
- 罹患者の大半は男性で (57. 4%) 平均年齢は39歳でした.
結論:
- この研究では,研究対象のアフリカ系黒人集団において,CAKUTの3. 5%の罹患率が確認された.
- 骨盤尿路結界の阻害は,この設定で確認された最も一般的なCAKUTです.
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