泰安市227例泌尿系结石成分分析

Analysis of the composition of 227 cases of urinary calculi in Tai'an City

目的分析泰安市227例泌尿系结石患者的结石成分和发病特点,为泰安地区泌尿系结石的防治提供参考。方法回顾性分析2021年10月至2022年10月泰安市中心医院迎胜院区收治的227例泌尿系结石患者的结石标本作为研究对象,采用红外光谱自动分析系统进行结石成分分析,结合患者临床资料,比较患者在年龄、性别、结石部位、结石主要成分构成比和检出率等方面的差异。结果结石好发年龄为40~60岁。泰安地区尿路结石以草酸钙结石(74.48%)、碳酸磷灰石(18.06%)为主要成分,结石患者男女比例为2.78:1.00,上尿路结石92.95%,下尿路结石7.05%,女性患者结石中碳酸磷灰石主要成分占比(35.00%)高于男性(11.98%)。结论泰安市泌尿系结石以草酸钙结石最为常见,男性明显多于女性,而碳酸磷灰石则多见于女性,发病部位以上尿路结石为主。

Objective To analyze the composition and characteristics of 227 patients with urinary calculi in Tai'an City and to provide reference for the prevention and treatment of local urinary calculi.Methods A total of 227 cases of urinary calculi in Yingsheng Hospital of Ta'an Central Hospital from October 2021 to October 2022 were collected and analyzed.Combined with the clinical data of the patients,the differences in age,sex,location,constituent ratio and detection rate of the main components of stones were compared.Results Stones were most common in the patients between the ages of 40-60 years old.The main components of urinary calculi in Tai'an area were calcium oxalate stone(74.48%)and carbonate apatite(18.06%).The male to female ratio of stone patients was 2.78:1.00.Upper urinary tract stones accounted for 92.95% and lower urinary tract stones accounted for 7.05%.The proportion of main components of carbonated apatite in women patients(35.00%)was higher than that in men(11.98%).ConclusionCs alcium oxalate stone was the most common urinary stone in Tai'an City,and men were significantly more common than women,while carbonate apatite was more common in women.Urinary calculi were mainly found above the site of the disease.