305例尿石成份分析及预防对策  

Analysis of constituents and prevention of urinary stones in Huai'an district (report of 305 cases)

作　　者：傅广波[1] 宋旭[1] 杨淮民[1] 钱立新[2] 眭元庚[2] 

机构地区：[1]南京医科大学附属淮安医院泌尿外科,江苏淮安223300 [2]南京医科大学第一临床医学院泌尿外科,江苏南京210029

出　　处：《现代泌尿外科杂志》2005年第3期136-138,共3页Journal of Modern Urology

摘　　要：目的 研究一种快速、简便的方法对泌尿系结石进行分析,并探讨其防治方法.方法 用化学常量法对305例患者的尿石标本进行化学成份测定,并结合临床资料进行分析.结果 发现结石发病男性多于女性(比例为3.2∶1),20～50岁多发,上尿路结石多于下尿路结石(5.4∶1).结石中草酸钙检出率达82%,尿酸盐55.2%,磷酸钙48.6%,磷酸镁铵与碳酸磷灰石则多见于泌尿系感染病例,胱氨酸结石少见.结论 化学常量法分析泌尿系结石简便、快捷、准确.结石成份分析对于了解结石成因、预防结石复发具有一定的意义.Objective To find a simple and quick method to analyze urinary stones and to study the methods in prevention and treatment of urinary stones. Methods Chemical analysis was carried out on 305 random samples which were cellected from the operation, either by ESWL or discharged naturally. The chemical constituents of the stones were measured and analyzed with the clinical data. Results Urinary stones were more often found in males than in females, and the ratio was 3.2, especially in the range of 20 to 50 years of age. The upper system stones were more frequently found than the lower system stones. Calcium oxalate were found in 82% of the stones, uric-stones 55.2%, and phosphate stones 48.6%. Magnesium ammonium, phosphate calcium and carbonic acid apatite stones were frequently found in patients with urinary infection. Cystine stones were ravely found. Conclusion Chemical analysis of urinary stones is a simple, quick and accurate method which can help identify the constituents of stones and provide important clues about why it has been formed. It may also provide information to the treatment and prevention of stones in the future.

关 键 词：尿路结石 结石预防 泌尿系 尿石症 

分 类 号：R691.4[医药卫生—泌尿科学]