| 摘要: |
| 目的 探讨本地区泌尿系结石疾病患者利用泌尿系结石红外光线自动分析仪分析的结石成分构成及其临床意义。方法 回顾性分析我院2014年5月至2020年5月3760例泌尿系结石疾病患者资料,采用泌尿系结石红外光线自动分析仪(LIIR-20型)分析结石成分组成。结果 泌尿系结石以肾结石为主(2932例,77.98%)。从结石成分看,草酸钙结石最常见2999例(79.76%)、其次分别是无水尿酸结石229例(6.09%)、碳酸磷灰石187例(4.97%)。从性别来看,男性泌尿系结石发病率明显高于女性[男2659例(70.72%),女1101例(29.28%)],其中男性一水草酸钙结石较女性明显多发(男71.86%,2155/2999;女28.14%,844/2999),女性六水磷酸铵镁类感染性结石明显多于男性(男36.36%,52/143;女63.64%,91/143)。从年龄上看,成年患者多表现为一水草酸钙结石,而小儿患者(10岁及以下)多表现为尿酸胺(30.43%,56/184)及胱氨酸结石(3.80%,7/184)。结论 本医疗中心泌尿系结石成分以草酸钙类结石为主,存在着年龄及性别等的差异;泌尿系结石红外光线自动分析仪作为新技术可以很好地分析泌尿系结石成分,为针对结石成分的特点采取相应的预防和诊疗措施提供了依据。 |
| 关键词: 泌尿系结石 结石成分 年龄 性别 |
| DOI：10.16252/j.cnki.issn1004-0501-2021.01.004 |
| 分类号:R691.4 |
| 文章编号:1004-0501(2021)01-0014-04 |
| 文献标识码:A |
| 基金项目:四川省科技计划项目(编号:2018SZ0219,2018SZ0168) |
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| Analysis of Composition and Related Factors of 3760 Cases of Urinary Calculi in Single Center. |
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Tang Yin, Bai Yunjin, Feng Dechao, Song Mingze, Han Ping
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Department of Urology,West China Hospital Sichuan University,Chengdu, Sichuan 610041 ,China.
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| Abstract: |
| Objective To explore the composition and clinical significance of urinary calculi in patients with urinary calculi in the area analyzed by infrared light automatic analyzer. Methods The data of 3760 patients with urinary calculi disease in our hospital from May 2014 to May 2020 were retrospectively analyzed. The urinary calculi infrared light automatic analyzer(LIIR-20)was used to analyze the composition of the stones. Results Urinary stones were mainly kidney stones(2932 cases, 77.98%). In terms of stone composition, calcium oxalate stones were the most common in 2999 cases(79.76%),followed by anhydrous uric acid stones in 229 cases(6.09%), and carbonated apatite in 187 cases(4.97%). From the perspective of gender, the incidence of urinary calculi in men was significantly higher than that in women[2659 cases(70.72%)for men and 1101 cases(29.28%)for women](P<0.05). Among them, calcium oxalate monohydrate stones were more common in men than in women(Male 71.86%, 2155/2999;female 28.14%, 844/2999)(P<0.05), females have significantly more infectious stones like magnesium ammonium phosphate hexahydrate than males(males 36.36%,52/143;females 63.64%,91/143)(P<0.01).From the perspective of age, adult patients usually have calcium oxalate monohydrate stones, while pediatric patients(10 years old and below)have uric acid amine(30.43%, 56/184)and cystine stones(3.80%, 7/184). Conclusion The main components of urinary calculi in this medical center are calcium oxalate stones, and there are differences in age and gender. As a new technology, the infrared light automatic analyzer for urinary calculi can analyze the components of urinary calculi. Taking corresponding preventive and diagnosis and treatment measures according to the characteristics of the stone composition provides a basis. |
| Key words: urinary calculi stone composition age gender |
