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新疆哈密地区汉族泌尿系结石患者尿路结石成分分析 预览

Composition Analysis of Urinary Calculi in Han Nationality Patients with Urinary Calculi in Hami District of Xinjiang
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摘要 目的研究新疆哈密地区汉族泌尿系结石患者的尿路结石成分及其分布特征。方法收集选取2013年4月~2016年12月我院汉族泌尿系结石患者557例,分析其结石成分,并对其结石构成进行检测。结果结石患者男女比为2.92:1,上、下尿路结石比为6.96:1。检出率最高的为草酸钙469例(84.22%),其次是碳酸磷灰石216例(38.79%),尿酸85例(15.27%)、磷酸镁铵62例(11.13%)、胱氨酸3例(0.54%)等成分结石占比较低。患者的发病率随年龄逐渐升高,40~60岁时达高峰。尿路结石主要分布于肾脏,占60.32%。各部位的尿路结石均以草酸钙、碳酸磷灰石为主,尿酸等成分较少。结论新疆哈密地区汉族泌尿系结石患者的结石成分以草酸钙为主,结石发病率较高与饮食结构及生活习惯关系密切。 Objective To study the composition and distribution of urinary calculi in Han patients with urinary calculi in Hami area, Xinjiang. Methods A total of 557 patients with urinary calculi from Han nationality from April 2013 to December 2016 were enrolled. The stones were analyzed and their stones were detected.Results The male-female ratio of patients with stones was 2.92:1, and the ratio of upper and lower urinary calculi was 6.96:1. The highest detection rate was 469 cases (84.22%) of calcium oxalate, followed by 216 cases (38.79%) of carbonate apatite, 85 cases (15.27%) of uric acid, 62 cases (11.13%) of ammonium magnesium phosphate,3 cases (0.54%)of cystine and other components of the stone accounted for a relatively low. The incidence of patients gradually increases with age, reaching a peak at 40 to 60 years of age. Urinary calculi are mainly distributed in the kidneys, accounting for 60.32%. The urinary calculi in each part are mainly calcium oxalate and carbonate apatite, and the components such as uric acid are less. Conclusion The calculi composition of Han patients with urinary calculi in Hami area of Xinjiang is mainly composed of calcium oxalate. The high incidence of stones is closely related to dietary structure and living habits.
作者 霍旺盛 雷婷婷 王艳军 陈立斌 尹清江 HUO Wang-sheng;LEI Ting-ting;WANG Yan-jun;CHEN Li-bin;YIN Qing-jiang(Department of Urology,Hongxing Hospital,13th Division of Xinjiang Production and Construction Corps,Hami 839000,Xinjiang,China;The Central Hospital of Hami,Hami 83900,Xinjiang,China)
出处 《医学信息》 2019年第15期129-131,共3页 Medical Information
关键词 新疆汉族 尿路结石 结石成分 红外光谱 Xinjiang Han nationality Urinary calculi Stone composition Infrared spectrum
作者简介 霍旺盛(1983.5-),男,陕西吴堡县人,本科,主治医师,主要从事泌尿系结石的临床诊治工作;通讯作者:雷婷婷(1988.7-),女,新疆奎屯人,本科,主管药师,主要临床药学研究工作.
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