山东省济南市单中心泌尿系结石成分及特征分析

Analysis of the composition and characteristics of urinary stones in Jinan of Shandong Province: single-center report

目的:探讨济南市泌尿系结石患者结石成分及特征,为诊治泌尿系结石提供参考依据。方法:选取山东省千佛山医院泌尿外科于2017年1月—2020年8月收治的患者资料,将符合标准的751例患者纳入研究,采用红外光谱法对结石成分进行分析,并结合患者的一般资料进行分析。结果:泌尿系结石患者中,41~60岁人群患病率最高,为47.27%;男性患者536例,是女性患者的2.49倍。结石主要位于上尿路,下尿路结石不常见。结石的主要成分是草酸钙结石,检出率为86.42%,其次是尿酸和磷酸盐类。部分结石成分在性别、年龄、部位分布上差异均有统计学意义(P<0.05)。结论:山东省济南市泌尿系结石中输尿管结石和草酸钙结石发病最为常见,性别、年龄等在部分结石成分中存在差异,可为该地区预防和治疗疾病提供参考。

Objective: To analyse the composition and characteristics of urinary stone in Jinan, and to provide reference for clinical diagnosis and treatment of urinary stone. Methods: A total of 751 patients who met the criteria were selected from Department of Urology of Urology in Shandong Province Qianfoshan Hospital from January 2017 to August 2020. The components of stones were analyzed by infrared spectroscopy and combined with the general data of patients. Results: Among the patients with urinary stone, the prevalence rate of 41-60 years old was the highest, which was 47.27%. There were 536 male patients, which was 2.49 times of female patients. The stones were mainly located in the upper urinary tract, but not in the lower urinary tract. The main component of the stone is calcium oxalate, and the detection rate is 86.42%, followed by uric acid and phosphate. Some stone components showed significant difference in gender, age and location of stone(P<0.05). Conclusion: Ureteral calculi and calcium oxalate stone are the most common urinary stone in Jinan City, Shandong Province. Some components of stones show difference in gender and age, which can provide reference for the prevention and treatment of diseases in this area.