泰州地区241例膀胱结石成分及危险因素分析  

Compositions and Analysis of Correlation Factors of Bladder Stones from 241 Cases in Taizhou

作　　者：徐震 阮亚石[1] 凌爱华[1] 郭伟[1] 姜伟 牛天力[1] XU Zhen;RUAN Ya-shi;LING Ai-hua;GUO Wei;JIANG Wei;NIU Tian-li(Taizhou People's Hospital,Taizhou Jiangsu 225300,China)

机构地区：[1]泰州市人民医院泌尿外科,江苏泰州225300

出　　处：《泰州职业技术学院学报》2022年第2期72-75,共4页Journal of Taizhou Polytechnic College

基　　金：泰州市人民医院院级课题(ZL202006,课题负责人:徐震).

摘　　要：目的探讨江苏省泰州地区膀胱结石患者结石成分特点及危险因素。方法回顾性分析泰州市人民医院2017年1月至2020年12月收治的241例膀胱结石患者的结石成分及临床资料,并分析本地区膀胱结石形成的危险因素。结果男性224例,女性17例,男性平均年龄为(68.58±11.80)岁,女性(54.76±13.31)岁,男性高于女性(t=4.614,P=0.000)。单一成分结石中以无水尿酸为主(72/108),混合型结石中一水草酸钙+碳酸磷灰石最多(54/133)。男性患者膀胱结石成分最多见的为无水尿酸(71/224)和一水草酸钙+碳酸磷灰石(48/224);女性患者最多见的为一水草酸钙+碳酸磷灰石(6/17)。60岁以下男性患者膀胱结石最多的见为草酸钙结石+感染性结石(24/39),60岁及以上最常见的为尿酸结石(67/185)及草酸钙结石+感染性结石(48/185);不同年龄女性患者结石成分无明显差异。男性膀胱结石患者中,合并下尿路梗阻性疾病者175例,女性患者中合并下尿路疾病8例。结论泰州地区膀胱结石以草酸钙结石、尿酸结石及碳酸磷灰石为主。年龄、性别、下尿路疾病及泌尿道感染是膀胱结石的危险因素。老年男性应注意下尿路梗阻性疾病及泌尿道感染的防治。Objective To investigate the compositions and risk factors of bladder stones in Taizhou,Jiangsu Province.Methods From January 2017 to December 2020,the clinical data and bladder stone compositions of 241 patients with bladder stones treated in Taizhou People's Hospital of Jiangsu Province were retrospectively analyzed.Results There were 224 male patients and 17 female patients.The average age of male patients(68.58±11.80)was higher than that of female patients(54.76±13.31)(t=4.614,P=0.000).Anhydrous uric acid(72/108)was the main component of single composition stones,and calcium oxalate monohydrate(COM)+apatite carbonate(54/133)was the most common component of mixed type stones.In male patients,the most common compositions of bladder stones were anhydrous uric acid(71/224)and COM+apatite carbonate(48/224).COM+apatite carbonate was the most common in female patients(6/17).The most common bladder stones in male patients under 60 were calcium oxalate stones and infectious stones(24/39).The most common bladder stones in male patients over 60 were uric acid stones(67/185)and COM+infectious stones(48/185).No significant difference was observed among different age in female.Among the male patients with bladder stones,175 cases were complicated with lower urinary tract obstruction diseases,and 8 cases were complicated with lower urinary tract diseases in female.Conclusion The main types of bladder stones in Taizhou area were calcium oxalate stones,uric acid stones and apatite carbonate stones.Age,gender,lower urinary tract diseases and urinary tract infections were risk factors for bladder stones.Elderly men should pay attention to the prevention and treatment of lower urinary tract obstructions and urinary tract infections.

关 键 词：膀胱结石 结石成分 红外光谱分析 危险因素 

分 类 号：R694.4[医药卫生—泌尿科学]