125例尿路结石成分分析及防治对策

Analysis of constituents and prevention of urinary stones (report of 125 cases)

目的探讨合肥地区尿路结石的成分状况,为临床防治提供帮助。方法对125例尿路结石标本进行化学成分测定,并结合临床资料进行分析。结果尿路结石男性发病多于女性,男女比例为1.45︰1。男女尿路结石成分存在差异;肾结石、输尿管结石和膀胱结石成分也不相同;单一成分结石和多种成分混合性结石分别占总结石数的64.8%和35.2%;结石中草酸钙检出率最高,达84.0%,磷酸钙16.8%,尿酸(铵)16.0%,感染性结石12.8%,碳酸钙4.8%,胱氨酸0.8%。结论尿路结石的化学成分分析简单、快捷、准确。结石成分分析对于了解结石成因,指导治疗和预防结石具有重要意义。

Objective To study the constituents of urinary stones in Hefei region, and provide methods in prevention and treatment of urinary stones. Methods Chemical analysis was carried out on 125 random urinary stones samples. The chemical constituents of stones were analyzed with the clinical data. Results Urinary stones were more often found in males than in females, and the ratio was 1.45：1.The constituents of stones were different between male and female, and also different among renal, ureteral and cystic stones. Pure stones were found in 64.8% of the stones and mixed stones 35.2%; the most common component of the urinary stones are calcium oxalate, which were found in 84.0% of the stones, and phosphate stones 16.8%, uric-stones 16.0%, infection stones 12.8%, carbonate stones 4.8%, cystine stones 0.8%. Conclusion Chemical composition analysis of urinary stones simple, quick and accurate, it is very important in providing information to the etiology, treatment and prevention of urinary stones.