泌尿系结石论文：312例泌尿系结石成分分析
【中文摘要】了解太原地区泌尿系结石化学成分构成，结合临床资料比较年龄、性别构成比例、上下尿路结石成分的特点及城市居住人群与农村居住人群的尿路结石成分的异同，为泌尿系结石的预防及治疗提供参考。
方法：收集太原地区各医院2010年l月-2012年1
月门诊体外冲击波碎石后排出和住院患者手术取出的泌尿系结石标
本312例，并结合相应的临床资料进行对比分析。
结果：尿路结石发病男性多于女性，男女比例为2.67:1，发病年龄在16~84岁之间，老年泌尿系结石有增加趋势。
肾结石、输尿管结石、膀胱结石和尿道结石成分也不相同；各种成分中胱氨酸结石占1.9%(6/312)，草酸钙结石占38.1%(119/312)，草酸钙+磷酸铵镁+碳酸磷灰石结石占
6.4%(20/312)，草酸钙+碳酸磷灰石结石占42.0%(131/312)，黄嘌呤结石占1.0%(3/312)，磷酸铵镁结石占2.2%(7/312)，碳酸磷灰石结石占3.8%(12/312)，无水尿酸结石占1.6%(5/312)，无水尿酸+草酸钙结石占2.9%(9/312)。
上尿路结石占76.6%(239/312)，下尿路结石占23.4%(73/312)，比例为3.2:1。
城市患者180例，农村患者132例，比例为1.36:1。
结论：了解本地区尿路结石化学成分构成及分布状况，为预防结石的形成和复发、指导结石的治疗提供科学依据。
【英文摘要】: To analyze the chemical composition of urinary tract stones in Taiyuan area and toprovide reference
for the prevention and treatment of urolithiasis combining the age and sexstructures, the characteristics of compositions of upper and lower urinary tract stones, and thedifferences and similarities in the composition of urinary tract stones between the urbanpopulation and the rural population.Methods: 312 samples of urinary tract stone discharged after the extracorporeal shock wavelithotripsy or removed from the inpatients through surgery in different hospitals of Taiyuan areafrom January 2010 to January 2012 were collected and analyzed comparatively combiningrelevant clinical
data.Results: Of the 312 cases of urinary tract stones, calcium oxalate + carbonate apatite stonesaccounted for 42.0%, calcium oxalate + hexahydrate magnesium ammonium phosphate +carbonate apatite stones 6.4%, calcium oxalate stones 38.1%, xanthine calculi 1.0%, hexahydratemagnesium ammonium phosphate stones 2.2%, carbonate apatite stones 3.8%, cystine stones1.9% and anhydrous uric acid stones 1.6%. The incidence of urinary tract stones was higher inmale than in female, with the male to female ratio of 2.67:1. The ages of sampled patients werebetween 16-84 years old. The upper urinary tract stone accounted for 76.6% and the lowerurinary tract stone 23.4%, with the upper to lower
ratio of 3.2:1. 180 cases were urban patientsand 132 rural, with the urban to rural ratio of 1.36:1.Conclusion: Understanding the chemical composition and the distribution of the urinary tractstones in local areas can provide scientific basis for the prevention of stone formation andrecurrence and for the guidance of stone treatment.
【关键词】泌尿系结石红外光谱分析结石成分分析太原地区【英文关键词】Urinary tract stone Infrared spectroscopy Composition analysis of stone Taiyuanarea
【目录】312例泌尿系结石成分分析摘要5-6Abstract6英文名称缩略词7-8前言8-9材料与方法9-11结果11-18讨论18-21结论21-22参考文献22-24附图24-29综述29-36参考文献34-36个人简介36-37致谢37。