云南省昭通市第一人民医院泌尿外科病人泌尿系结石的成分分析

Analysis of components of urinary calculus in Zhaotong,Yunnan

目的:分析云南省昭通地区泌尿系结石的成分。方法:选取2014年8月至2016年8月于我院治疗的云南省昭通地区327例病人为研究对象。收集病人的临床资料,通过红外光谱仪检测结石成分。结果:327例泌尿系结石患者男女比例为2.42(P<0.05),平均年龄41.7岁。结石以输尿管结石(62.99%)和肾结石(25.08%)为主。含草酸钙的泌尿系结石占74.01%。327例泌尿系结石中单纯性结石88例(26.91%),混合性结石239(73.09%)。单纯性结石以草酸钙(14.07%)为主。混合性结石中,草酸钙/尿酸铵,草酸钙/尿酸,草酸钙/磷酸镁铵较为常见。结论:云南昭通地区泌尿系结石发病的年龄,性别与国内其他地区类似,其成分以草酸钙为主。

Objective：To analyze the components of urinary calculus in Zhaotong,Yunnan.Methods：Three hundred and twentyseven patients with urinary calculus in our hospital from August,2014 to August,2016 were included in the present study.The clinical data were collected.The components of urinary calculus were measured with infrared spectrometer.Results：The male-female ratio of 327 patients with urinary calculus was 2.42：1（P〈0.05）.The average age of the patients was 41.7years old.There were 88cases（25.08%）with simple calculus and 239cases（73.09%）with mixed calculus.The mayor component of simple calculus was calcium oxalate（14.07%）.The common components of mixed calculus included calcium oxalate/ammonium urate,calcium oxalate/uric acid and calcium oxalate/magnesium ammonium phosphate.Conclusion：The distribution of age and gender of urinary calculus in Zhaotong,Yunnan were similar to those in other areas in our country.The major component of simple calculus was calcium oxalate.