Uroscannographic Profile of Urolithiasis at Marie Biamba Mutumbo Hospital in Kinshasa, Democratic Republic of Congo
Auteur(s): Kizunga m David, Aliocha Nkodila Natoyula, Mukaya T T Jean, Lelo T Michel, Loposso Nkumu Mathieu, Molua Aundu AntoineNom de la revue/Journal: International Journal of Health Sciences and Research
Mois: janvier
Volume: 11
Numéro: 1
Année: 2021
pages: 145-151
Résumé
<p>BSTRACT Background and purpose: Imaging plays an essential role in the management of stones. It makes it possible to make the diagnosis, to locate it, to measure its dimension, its density and to orient on its chemical composition. But data on the urolithiasis profile of urolithiasis in the DRC are fragmentary. The purpose of the study is to assess the extent of Uroscan in the diagnosis of urinary tract stones in patients examined at Marie Biamba Mutombo Hospital. Methods: This is a descriptive study of 79 patients who performed a CT scan at HBMM during the period from 2013 to 2018. The sociodemographic, clinical characteristics and the results of the CT scan were studied. Results: 79 patients who performed the uroscan were studied, of which 58.2% were men. The mean age of these patients was 44.5 ± 17.1 years. Clinically, the majority of uroscans were indicated for renal colic and check-up (77.2% respectively). The frequency of lithiasis after CT scan was 38.5% with 5.1% recurrence. Of the 79 patients selected, 119 lithiasis were identified, mostly located in the kidney (63.9%), of which 50.4% were microlithiasis. The majority of these lithiases had a composition orientation of phosphate (42.9%), uric acid and oxalate (28.6% respectively). Several abnormalities associated with lithiasis were found on CT in addition; with the most frequent a renal cyst (27.4%). Conclusion: The uroscanner is an essential examination in the management of lithiasis pathologies, it gives the precise localization, orients on the chemical composition, takes the size and guides the therapeutic attitude. Keywords: Uroscanner, profile, urolithiasis, HBMM, RDC</p>