193例苏州市尿路结石的成分分析及与C反应蛋白水平的相关联性

Analysis of Urinary Stone Composition and Its Correlation with C-reactive Protein Level in 193 Cases of Suzhou Area

目的研究苏州地区泌尿结石患者的结石成分,以及C反应蛋白水平的表现,为泌尿系结石的预防、治疗提供参考依据。方法收集分析了2020年2月—2022年2月193例泌尿结石患者的临床资料、结石成分及C反应蛋白水平。结果该研究中,男性患者发病率明显高于女性患者(P<0.05),40~60岁患者结石发生率最高,单一性结石的发生率为34.20%,混合型结石的发生率为65.80%,其中以草酸钙结石、碳酸磷灰石的发生率最高。C反应蛋白在各种感染性结石中水平升高的占比明显高于非感染性结石(P<0.05)。结论苏州地区的结石多为混合型结石,其中以草酸钙结石为主,结石成分存在着性别、年龄的差异,在不同结石成分之间C反应蛋白水平存在着差异性。

Objective To study stone composition and C-reactive protein level in patients with urinary stones in Suzhou area,and provide reference for the prevention and treatment of urolithiasis patients.Methods The clinical data,stone composition and C-reactive protein level of 193 patients with urolithiasis from February 2020 to February 2022 were collected and analyzed.Results The incidence of urinary calculi in male patients were significantly higher than female patients,highest in patients aged 40-60 years.The incidence of single calculi was 34.20%and mixed calculi was 65.80%,among which calcium oxalate calculus and carbonate apatite were the highest.The proportion of C-reactive protein increased in infectious stones was significantly higher than that in non-infectious stones(P<0.05).Conclusion The urinary stones in Suzhou area are mostly mixed calculi,mainly calcium oxalate calculi,and there are differences in stone composition by gender and age,as well as differences in C-reactive protein levels among different stone composition.