从化地区复杂性肾结石晶体成分分析

Analysis of the crystalline composition of renal complex calcium calculus in Conghua

目的:总结从化地区复杂性肾结石晶体化学成份特点,为预防其复发提供依据。方法:检测从化地区95例复杂性肾结石患者的结石晶体的化学成份,同时分析患者的相关临床资料。结果:本组95例复杂性肾结石患者中,结石晶体为混合成份91例(95.8%),其中草酸钙+磷酸钙47例(49.5%)、草酸钙+尿酸7例(7.4%)、草酸钙+磷酸钙+尿酸9例(9.5%)、草酸钙+磷酸钙+磷酸镁铵25例(26.3%)、草酸钙+磷酸钙+胱氨酸3例(3.2%);结石晶体为草酸钙成份4例(4.2%)。结论:从化地区复杂性肾结石以混合成份为主,应加强病因诊断并采用针对多种病因的积极的复发预防性治疗。

Objective：To summarize the characteristics of crystalline composition of renal complex calcium calculus in Conghua, and to provide evidences for prevention of its recurrence. Methods： 95 patients with renal complex calcium calculus were detected their crystalline composition and analyzed their clinical data. Results： Of 95 patients with renal complex calcium calculus, 91 patients （95.8%） were found with mixed calculus, including calcium oxalate ~ calcium phosphate （ n = 47,49.5 % ）, calcium oxalate ＋ Uric Acid （ n = 7,7.4% ）, calcium oxalate ＋ calcium phosphate ＋ Uric Acid （ n = 9, 9.5 % ） , calcium oxalate ＋ calcium phosphate ＋ infection stone （ n = 25,26.3% ） , oxalate ＋ calcium phosphate ＋ cystine（ n = 3, 3.2% ）. Conclusion ： The renal complex calcium calculus was mainly mixed calculus in Conghua. The diagnosis on factors should be enhanced so as to perform the active treatment aimed at various factors for prevention of recurrence.