宁波地区3866例泌尿系结石患者结石成分分析  

Analysis of the composition of 3866 patients with urinary stones in Ningbo area

作　　者：石潇 杨后猛 吴齐全 SHI Xiao;YANG Houmeng;WU Qiquan(School of Medicine,Ningbo University,Ningbo 315211,Zhejiang,China;Department of Urolithiasis,Ningbo No.2 Hospital,Ningbo 315010,Zhejiang,China;Department of Urolithiasis,Ningbo Yinzhou No.2 Hospital,Ningbo 315100,Zhejiang,China)

机构地区：[1]宁波大学医学院,浙江宁波315211 [2]宁波市第二医院泌尿结石科,浙江宁波315010 [3]宁波市鄞州第二医院泌尿结石科,浙江宁波315100

出　　处：《中国现代医生》2023年第15期46-49,共4页China Modern Doctor

摘　　要：目的探讨宁波地区泌尿系结石成分构成,为临床防治泌尿系结石提供参考。方法选取2017年1月至2019年12月宁波市鄞州第二医院3866例泌尿系结石患者为研究对象,通过红外光谱分析确定结石成分,并结合临床资料进行分析。结果男性患病率显著高于女性,性别比2.02∶1,40~60岁是泌尿系结石高发年龄段(49.61%);结石好发于上尿路(93.22%),且下尿路结石中男性明显多于女性(性别比19.15∶1);夏秋季发病率较春冬季高,且男性患病率随季节的变化波动较女性大;共发现53种成分组成,其中单一成分型1147例(29.67%),混合成分型2719例(70.33%),一水草酸钙最多(24.75%),其次一水草酸钙+碳酸磷灰石(19.14%);按结石成分分类,草酸钙类最多(79.57%),除磷酸铵镁类结石,其余类型结石男性患病率显著高于女性,草酸钙类随季节变化差异较大。结论宁波地区泌尿系结石以草酸钙类结石为主,上尿路结石最常见,夏秋季是结石的高发季节,对当地结石的防治具有一定意义。Objective To investigate the composition of urinary stones in Ningbo area,and to provide a reference for clinical prevention and treatment of urinary stones.Methods A total of 3866 patients with urinary stones from January 2017 to December 2019 in Ningbo Yinzhou No.2 Hospital were selected for the study,and the stone composition was determined by infrared spectroscopy analysis and combined with clinical data.Results The prevalence of urinary stones in men was significantly higher than in women,with a sex ratio of 2.02 vs.1,and the age group of 40~60 years was the most prevalent age group for urinary stones(49.61%);Stones were more prevalent in the upper urinary tract(93.22%),and there were significantly more men than women in the lower urinary tract stones(sex ratio 19.15 vs.1);The prevalence was higher in summer and autumn than in spring and winter,and the prevalence fluctuated more in men than in women with seasonal changes;A total of 53 components were found,with 1147 cases(29.67%)of single component type,2719 cases(70.33%)of mixed component,calcium oxalate monohydrate was the most common(24.75%),followed by calcium oxalate monohydrate+apatite carbonate(19.14%),and the prevalence of calcium oxalate was the most common(79.57%),excepted for magnesium ammonium phosphate stones.The prevalence of calcium oxalate was significantly higher in men than in women,and the seasonal variation of calcium oxalate varied greatly.Conclusion Urological stones in Ningbo area are mainly calcium oxalate stones,and upper urinary tract stones are the most common.Summer and autumn are the high incidences of stones,which is of some significance to the prevention and treatment of local stones.

关 键 词：泌尿系结石 成分分析 宁波地区 结石防治 

分 类 号：R691.4[医药卫生—泌尿科学]