摘要
目的:分析遵义市上尿路结石患者的结石化学成分及结石成分在性别、年龄、结石部位间的差异,为结石防治提供依据。方法:收集2015年1月-2020年1月遵义医科大学附属医院泌尿外科治疗的1495例遵义市籍贯的上尿路结石患者的结石成分及临床资料,采用SPSS 21.0统计学软件分析结石成分与患者性别、年龄、结石部位间的差异。结果:1495例结石成分中最常见的是一水草酸钙+二水草酸钙+碳酸磷灰石,其次是一水草酸钙结石。男性尿酸结石所占比例高于女性,而女性碳酸磷灰石及磷酸镁铵结石比例高于男性(P<0.01)。尿酸结石随着年龄增长而增加(P<0.05)。结论:遵义地区上尿路结石成分以草酸钙结石为主,尿酸结石发病率亦不容忽视,结石成分在性别、年龄间存在差异,这对不同成分结石的防治提供了一定的依据。
Objective: To analyze the chemical composition of upper urinary calculi in Zunyi City and the differences of stone composition in gender, age, stone location, and to provide basis for the prevention and treatment of stones. Methods: Clinical data of 1495 patients with identified upper urinary calculi living in Zunyi City admitted to the Affiliated Hospital of Zunyi Medical University from January 2015 to January 2020 were collected. The differences between stone composition and related factors were analyzed by SPSS 21.0 statistical software. Results: Among 1495 cases, the most dominant composition was calcium oxalate monohydrate + calcium oxalate dihydrate + carbonate apatite, followed by calcium oxalate monohydrate stone. The proportion of men with uric acid stones is higher than that of women, while women’s carbonate apatite and magnesium ammonium phosphate stones are more than men’s(P<0.01). The higher the age was, the higher the detection rate of uric acid stones was(P<0.05). Conclusion: Calcium oxalate stones are the main components of upper urinary tract stones in Zunyi City, but the incidence of uric acid stones cannot be ignored. There are differences in stone composition in gender, age, which provides a basis for prevention and control of different types of stones.
作者
涂熹
庄稀尧
黄朝友
陈书练
罗旭
张能
TU Xi;ZHUANG Xiyao;HUANG Chaoyou;CHEN Shulian;LUO Xu;ZHANG Neng(Department of Urology,Chengdu Second People’s Hospital,Chengdu,610021,China;Department of Rehabilitation Medicine,Chengdu Shuangliu Hospital of Traditional Chinese Medicine;Department of Urology,Affiliated Hospital of Zunyi Medical University)
出处
《临床泌尿外科杂志》
CAS
2022年第5期364-368,共5页
Journal of Clinical Urology
基金
国家自然科学基金资助项目(No:81860524)。
关键词
上尿路结石
红外光谱仪
结石成分
upper urinary stones
infrared spectrometer
stone composition
