恩施土家族苗族自治州少数民族聚居地泌尿系结石成分分析

Analysis of Constituents of Urinary Stone Samples in Enshi of Hubei Province

目的研究湖北省恩施土家族苗族自治州少数民族聚集地泌尿系结石成分特点及分布规律。方法收集2014年6月—2015年12月湖北民族学院附属民大医院泌尿外科获得的186例结石标本,通过红外光谱自动分析系统分析结石成分。结果 186例结石标本中共有19种结石成分,主要成分包括一水草酸钙、二水草酸钙、羟基磷灰石、磷酸氢钙、尿酸盐、碳酸磷灰石、磷酸镁铵、胱氨酸结石,其中草酸钙成分的结石最多(91.9%),其次为磷酸盐结石(34.4%)、尿酸盐结石(11.8%),胱氨酸类结石(1.1%)较少。结论恩施土家族苗族自治州患者泌尿系结石中一水草酸钙最多、其次为二水草酸钙、胱氨酸结石最少,为该地区结石防治提供重要依据。

Objective To analyze the chemical composition and distribution regularities of urinary calculi in Enshi of Hubei province.Methods 186 samples of urolithiasis in the Affiliated Hospital of Hubei University for Nationalities from June 2014 to December 2015 were analyzed by Automatic Analysis System of Infrared Spectroscopy.Results 186 samples of urolithiasis had 19 constituents of urinary stones,including calcium oxalate,hydroxyapatite,calcium hydrophosphate,urate,carbonic acid apatite,magnesium ammonium phosphate and cystine calculi.The calcium oxalate calculus was 91.9%,phosphate calculus was 34.4%and urate calculus was 11. 8% and cystine calculus was 1. 1%. Conclusion The calcium oxalate monohydrate calculi are more common than calcium oxalate dihydrate in Enshi of Hubei province.It is valuable to prevent urinary calculi in the area.