75例复杂性含钙肾结石成分分析  

ANALYSIS OF THE CRYSTALLINE COMPOSITION OF RENAL COMPLEX CALCULI AND ITS CLINICAL SIGNIFICENCE

作　　者：吕蔡[1] 黄义[1] 刘振湘[1] 李东辉[1] 白志明[1] 

机构地区：[1]中南大学湘雅医学院附属海口医院泌尿外科,海口570208

出　　处：《现代预防医学》2011年第20期4298-4299,4303,共3页Modern Preventive Medicine

摘　　要：[目的]分析复杂性肾结石化学成分构成特点，为预防结石复发提供依据。[方法]选择我院2006年10月-2008年6月收治的复杂性肾结石患者75例，采用微创经皮肾镜取石术治疗结石，收集术中结石标本，行结石化学成分定性分析。[结果]75例中含钙结石72例（96％）。62例（82．7％）为混合成分，其中草酸钙＋磷酸钙＋尿酸胺12例（16,7％），草酸钙＋磷酸钙38例（52．8％），草酸钙＋尿酸9例（12．5％），磷酸钙＋磷酸镁铵3例（4．2％）；纯草酸钙结石10例（13．9％）。分析各结石成分构成，草酸钙最多（92％），其次为磷酸钙（70．7％），尿酸（29．3％），磷酸镁铵（6．67％）。[结论]复杂性肾结石绝大部分为混合成分。结石形成可受多种因素影响。[Objective] To analyze the prevention of renal complex calculus recurrence, it is necessary to require knowl- edge of characteristic of the crystalline composition of renal complex calculi. [Methods] Chemical analysis of the stones gotten from 75 patients with renal complex calculi treated by PCNL in our hospital were taken and the related clinical data about the patients were collected. [ResultS] Most （62, 82.7%） of the renal complex calculi of the 75 patients were mixed calculi, in- cluding calcium oxalate ＋ calcium phosphate ＋ Uric Acid （12, 16.7%）. calcium oxalate＋ calcium phosphate （38, 52.8%） and calcium oxalate ＋ Uric Acid （9, 12.5%）. Calcium oxalate （92%） was the most popular calculus composition, then were calcium phosphate （70.7%）. Uric Acid （29.3%） and dagnesium ammonium （6.67%）. [Conclusion] Most of the large renal complex calculi were mixed calculi. Many facts will influence the growth of calculi. The preventions of the calculi recurrence are the same importance as its treatments.

关 键 词：肾结石 含钙结石 成分分析 预防 

分 类 号：R692.4[医药卫生—泌尿科学]