上饶地区泌尿系结石成分分析  

Analysis of composition of urinary calculi in Shangrao area

作　　者：邹根贵 杨元星 吴文博 余良智 ZOU Gen-gui;YANG Yuan-xing;WU Wen-bo(Department of Urology,Shangrao People's Hospital,Shangrao 334000,China)

机构地区：[1]江西省上饶市人民医院泌尿外科,334000

出　　处：《中国实用医药》2023年第21期159-162,共4页China Practical Medicine

基　　金：江西省上饶市社会发展领域科技计划(项目编号:2022CZDX13)。

摘　　要：目的分析上饶地区泌尿系结石的组成成分,为本地区泌尿系结石患者的防治提供临床依据。方法收集上饶市人民医院收治的174例泌尿系结石患者的结石样本进行分析,采用红外光谱结石分析系统获得结石成分,分析比较不同性别结石患者的年龄、结石部位分布情况,并比较不同年龄、性别患者的结石成分分布情况。结果174例结石患者中男106例(60.92%),女68例(39.08%),男女比例为1.56∶1;年龄20~82岁,男性平均年龄(49.25±14.68)岁,女性平均年龄(50.09±13.91)岁。男女发病高峰年龄段为30~59岁,男女发病年龄分布情况比较差异无统计学意义(P>0.05)。174例结石患者中上尿路结石(肾结石、输尿管结石、肾/输尿管结石)167例(95.98%),下尿路结石(膀胱结石)6例(3.45%),上下尿路(肾/输尿管/膀胱结石)同时发病1例(0.57%)。上尿路结石中,男性发病最多的部位为肾/输尿管44例(41.51%),其次为肾30例(28.30%),输尿管25例(23.58%);女性发病最多的部位为输尿管28例(41.18%),其次为肾/输尿管21例(30.88%),肾19例(27.94%)。男女结石部位分布情况比较差异有统计学意义(P<0.05)。174例泌尿系结石患者中,单一成分结石少见,为2例(1.15%),172例为混合性结石(98.85%)。以一水草酸钙+二水草酸钙最为常见,为91例(52.30%),其次依次为一水草酸钙+碳酸磷灰石46例(26.44%),二水草酸钙+碳酸磷灰石16例(9.20%),尿酸+草酸钙13例(7.47%),六水磷酸铵镁(感染性结石)+碳酸磷灰石6例(3.45%)。不同性别、年龄段结石成分分布情况比较差异有统计学意义(P<0.05)。结论上饶地区泌尿系结石患者男性多于女性,青中年(30~59岁)发病率最高,以上尿路结石为主,肾脏合并输尿管结石比例最高,草酸钙结石最为常见,女性感染性结石多于男性,60岁以上人群患尿酸结石风险较高。Objective To analyze the composition of urinary calculi in Shangrao area,so as to provide clinical evidence for the prevention and treatment of patients with urinary calculus in this area.Methods The samples of 174 patients with urinary calculi admitted to Shangrao People's Hospital were collected for analysis.Comparison was made on the age and distribution of calculi sites among patients of different genders,as well as the distribution of calculi components among patients of different genders and ages.Results There were 106 males(60.92%)and 68 females(39.08%)in 174 patients with calculi,with a male to female ratio of 1.56∶1;age range was 20-82 years,with an average age of(49.25±14.68)years for males and(50.09±13.91)years for females.The peak age group of male and female patients was 30-59 years old,and there was no statistically significant difference in the age of male and female patients(P>0.05).Among the 174 patients with calculi,167 cases(95.98%)of middle and upper urinary calculi(kidney calculi,ureteral calculi,kidney/ureteral calculi),6 cases(3.45%)of lower urinary calculi(bladder calculi),and 1 case(0.57%)of upper and lower urinary calculi(kidney/ureter/bladder)occurred simultaneously.Among the upper urinary calculi,44 cases(41.51%)of male patients had the most frequent incidence of kidney/ureter,followed by 30 cases(28.30%)of kidney and 25 cases(23.58%)of ureter;the ureter was the most common site in 28 cases(41.18%),followed by kidney/ureter in 21 cases(30.88%)and kidney in 19 cases(27.94%).There was statistically significant difference in calculi distribution between males and females(P<0.05).Among 174 patients with urinary calculi,single component calculi were rare in 2 cases(1.15%),and mixed calculi in 172 cases(98.85%).Calcium oxalate monohydrate+calcium oxalate dihydrate was the most common,in 91 cases(52.30%),followed by calcium oxalate monohydrate+carbonate apatite in 46 cases(26.44%),calcium oxalate dihydrate+carbonate apatite in 16 cases(9.20%),uric acid+calcium oxalate in 13 cases(7.47%),m

关 键 词：泌尿系结石 上饶地区 成分分析 红外光谱结石分析系统 

分 类 号：R691.4[医药卫生—泌尿科学]