湖北十堰地区泌尿系结石成分及特征分析

doi:10.3969/j.issn.1005-6483.2019.10.017

临床外科杂志 ›› 2019, Vol. 27 ›› Issue (10): 879-881.doi: 10.3969/j.issn.1005-6483.2019.10.017

湖北十堰地区泌尿系结石成分及特征分析

湖北省十堰市太和医院/湖北医药学院附属医院泌尿外科

出版日期:2019-10-20 发布日期:2019-10-20
通讯作者: 杨勇， Email：1260477023@qq.com

Analyze the calculus composition and characteristic for 999 patients from Shiyan area in Hubei province

Taihe Hospital in shiyan of Hubei province（The Affiliated Hospital of Hubei Medical College），Urology，Shiyan，Hubei，442000，China

Online:2019-10-20 Published:2019-10-20

摘要/Abstract

摘要： 目的分析湖北十堰地区泌尿系结石病人的结石成分及特征。方法泌尿系结石标本999例，采用红外光谱分析法对其进行结石成分进行分析。结果湖北十堰地区结石成分以草酸钙（89.79%）及碳酸磷灰石（50.95%）为主，且多为混合型结石（64.86%）。结石病人男女比例为2.41∶1，上下尿路结石比例为13.27∶1。上尿路结石发病高峰为40～59岁年龄段，下尿路结石发病高峰为年龄>59岁。男性草酸钙、碳酸磷灰石、无水尿酸为主的结石多于女性（P<0.05），以六水磷酸铵镁及胱氨酸为主的结石病人无性别差异。结论湖北十堰地区以草酸钙及碳酸磷灰石为主。

关键词: 十堰地区, 泌尿系结石, 结石成分

Abstract: Objective To analyze the calculus composition and characteristic for patients from Shiyan area，so as to provide a basis for the prevention and treatment of urinary stone.Methods Stone specimens from 999 patients with urinary tract stone were collected in our hospital from Jan.2017 to sep.2018.The stone composition was detected and analyzed by infrared spectrum automatic analysis system，and then the clinical characteristics of them were analyzed.Results The main components of urinary stones were calcium oxalate（89.79%）and carbonate apatite（50.95%），and almost weremixed stone.The overall male/female ratio was 2.41/1，and the overall upper urinary tract stone/lower urinary tract stone ratio was 13.27∶1.The overall high-incidence age of upper urinary tract stone ranged from 40 to 59 years old，however the overall high-incidence age of lower urinary tract stone was over 59 years old.There were significant difference beween men and women about calcium oxalate stone，carbonate apatite stone，anhydrous uric acid stone（P<0.05），whereas there were no significant difference between men and women about magnesium ammonium phosphate stone，cystine stone（P>0.05）.Conclusion The main components urinary stones are calcium oxalate stone，carbonate apatite stone in patients from Shiyan area.We analyze the calculus compositions and factors in order to the prevention and treatment of urinary stones more effectively.

Key words: Shiyan area, Urolithiasis, stone composition

凌生涛, 谢登娥, 姚启盛, 龚小新, 杨勇. 湖北十堰地区泌尿系结石成分及特征分析[J]. 临床外科杂志, 2019, 27(10): 879-881.

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湖北十堰地区泌尿系结石成分及特征分析

Analyze the calculus composition and characteristic for 999 patients from Shiyan area in Hubei province

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