176例尿路结石成分分析  

Composition Analysis of Urolithiasis in 176 Cases

作　　者：丛敏华 吴义高[2] 余意[2] 胡卫列[2] 卢玛光[2] 

机构地区：[1]济南警备区门诊部,山东济南250013 [2]广州军区广州总医院泌尿外科

出　　处：《华南国防医学杂志》2013年第11期788-790,共3页Military Medical Journal of South China

基　　金：国家自然科学基金项目(81172421;81001142)

摘　　要：目的分析尿石症患者结石成分，为尿石症临床防治提供理论依据。方法对176例尿路结石标本进行红外光谱测定，并结合临床资料进行分析。结果尿石症发病率男性高于女性，比例为1．98：1。30~50岁和50~70岁为结石高发年龄，分别占62．60％和30．20％。草酸钙结石检出率最高，其中一水草酸钙（W1）达到89．2％，其次为碳酸磷灰石，占63．6％。混合性结石高于单一成分结石，占73．9％，混合性结石组成多以草酸钙、碳酸磷灰石为主。上尿路结石发病率明显高于下尿路，占84．1％。结论尿路结石成分分析对建立广州地区结石防治体系具有重要意义。Objective By analyzing the composition of urolithiasis, to provide a theoretical reference for clinical prevention and treatment of urolithiasis. Methods A total of 176 urolithiasis specimens were checked by infrared spec- troscopy, and the clinical data was analysed. Results Incidence of urolithiasis in men was higher than that in women by a ratio of 1, 98：1. High urolithiasis incidence was observed in subjects of 30-50 （62. 60 ~/60）and 50-70 years old （30. 20 %）. Calcium oxalate stones had the highest detection rate, among which the detection rate of calcium oxalate monohydrate was 89. 2~, followed by carbonated apatite （63.6%）. The incidence of mixed stones was 73. 9%, which was higher than that of single component. The mixed stones were mostly composed of calcium oxalate and carbonate apatite. The incidence of the Stones in the upper urinary tract（84. 1X） was significantly higher than that in the lower urinary tract. Conclusion~ Composition analysis of urolithiasis would be beneficial to establish prevention system of urolithiasis in Guan- gzhou area.

关 键 词：尿石症 成分分析 结石防治 

分 类 号：R691.4[医药卫生—泌尿科学]