单中心经腔镜上尿路结石成分分析  

Composition analysis of urinary calculi by single-center endoscopy

作　　者：汪海龙[1] 张宗平[1] 王安果[1] 伍季[1] 李云祥[1] WANG Hai-long;ZHANG Zong-ping;WANG An-guo;WU Ji;LI Yun-xiang(Nanchong Central Hospital,Second Clinical Medicine School of North Sichuan Medical College,Nanchong 637000,Sichuan,China)

机构地区：[1]川北医学院第二临床医学院,南充市中心医院,四川南充637000

出　　处：《川北医学院学报》2020年第2期276-279,共4页Journal of North Sichuan Medical College

基　　金：川北医学院校级科研发展计划项目(CBY16-A-BY-40)。

摘　　要：目的:分析南充地区经腔镜治疗的上尿路结石患者的发病情况、结石成分及分布特征。方法:回顾性分析经腔镜治疗的835例上尿路结石成分分析报告,结合患者的地域、性别、年龄和结石成分进行统计学分析。结果:835例上尿路结石患者的地域分布有差异,以顺庆区和嘉陵区为多,占患者总数的20.1%和17.4%,周边地区以广安地区为多,占12.2%。男患者明显多于女患者,二者比例为1.49∶1。结石发病年龄分布较广,儿童和高龄老人发病率较低,而中年组中所占比例较高,尤其是50~60岁龄段,所占构成比最高,约为27.43%,其次是40~50岁和60~70岁年龄段,构成比为20.48%和24.67%。835例上尿路结石标本,以一水草酸钙+二水草酸钙最多(33.9%),其次为一水草酸钙+二水草酸钙+碳酸磷灰石(18.4%),不同年龄段结石成分构成有差异。结论:本院经腔镜治疗的上尿路结石患者发病情况存在一定的年龄及地域差异,男性多于女性,发病年龄主要集中在40~70岁年龄段,患者主要来自邻近县市。结石成分主要以一水草酸钙+二水草酸钙最多,混合性结石多于单一结石。Objective:To analyze the incidence,composition and distribution of upper urinary calculi treated by endoscopy in Nanchong area.Methods:Retrospective analysis was performed on the composition analysis reports of 835 cases of upper urinary tract calculi.Statistical analysis was carried out based on the region,gender,age and calculus composition of the patients.Results:The geographical distribution of 835 patients with upper urinary calculi was different,most of which were in shunqing district and jialing district,accounting for 20.1%and 17.4%,and the most of which were in Guang'an district,accounting for 12.2%.The ratio of male patients to female patients was 1.49∶1.The age of stone onset was wide,and the incidence rate of children and the elderly was low,while the proportion of the middle-aged group was relatively high,especially the age range of 50-60 years-old,accounting for the highest proportion(about 27.43%),followed by the age range of 40-50 years-old and 60-70 years-old,accounting for 20.48% and 24.67%respectively.Among the 835 cases of upper urinary calculi,calcium oxalate monhydrate+calcium oxalate dihydrate was the largest(33.9%),followed by calcium oxalate monhydrate+calcium oxalate dihydrate+carbonate apatite(18.4%).The composition of calculi in different age groups was different.Conclusion:There are some age and regional differences in the incidence of upper urinary calculi treated by endoscopy in our hospital.There are more men than women.The onset age is mainly in the 40-70 years-old age group,and the patients are mainly from neighboring counties and cities.Calcium oxalate monohydrate and calcium oxalate dihydrate were the most common components,and the mixed stones were more than single stones.

关 键 词：单中心 经腔镜 上尿路结石 结石成分分析 

分 类 号：R691.4[医药卫生—泌尿科学]