皖南医学院学报
皖南醫學院學報
환남의학원학보
ACTA ACADEMIAE MEDICINAE WANNAN
2014年
2期
131-133
,共3页
尿路结石%化学成分%防治
尿路結石%化學成分%防治
뇨로결석%화학성분%방치
urinary calculi%chemical composition%prevention
目的：分析549例上尿路结石成分构成，探讨结石特点和指导尿路结石的治疗。方法：回顾性分析2008年3月～2012年12月间549例尿路结石患者的临床资料，收集其结石标本进行化学成分分析。结果：结石发生人群分布在16～91岁之间，发病高峰年龄段为40～49岁。单一成分结石201例（36．61％），混合性结石348例（63．39％）。结石成分中草酸钙占74．31％，磷酸钙结石占46．99％，磷酸铵镁结石占17．49％，尿酸铵结石占9．84％，尿酸结石占8．20％，碳酸钙结石占4．92％，胱氨酸结石占4．37％。其中含钙90．71％，含磷62．30％，含铵26．23％，含镁18．58％。结论：泌尿系结石成因复杂，术后结石再生复发率较高，结石成分分析对于指导治疗、预防结石复发具有重要的意义。
目的：分析549例上尿路結石成分構成，探討結石特點和指導尿路結石的治療。方法：迴顧性分析2008年3月～2012年12月間549例尿路結石患者的臨床資料，收集其結石標本進行化學成分分析。結果：結石髮生人群分佈在16～91歲之間，髮病高峰年齡段為40～49歲。單一成分結石201例（36．61％），混閤性結石348例（63．39％）。結石成分中草痠鈣佔74．31％，燐痠鈣結石佔46．99％，燐痠銨鎂結石佔17．49％，尿痠銨結石佔9．84％，尿痠結石佔8．20％，碳痠鈣結石佔4．92％，胱氨痠結石佔4．37％。其中含鈣90．71％，含燐62．30％，含銨26．23％，含鎂18．58％。結論：泌尿繫結石成因複雜，術後結石再生複髮率較高，結石成分分析對于指導治療、預防結石複髮具有重要的意義。
목적：분석549례상뇨로결석성분구성，탐토결석특점화지도뇨로결석적치료。방법：회고성분석2008년3월～2012년12월간549례뇨로결석환자적림상자료，수집기결석표본진행화학성분분석。결과：결석발생인군분포재16～91세지간，발병고봉년령단위40～49세。단일성분결석201례（36．61％），혼합성결석348례（63．39％）。결석성분중초산개점74．31％，린산개결석점46．99％，린산안미결석점17．49％，뇨산안결석점9．84％，뇨산결석점8．20％，탄산개결석점4．92％，광안산결석점4．37％。기중함개90．71％，함린62．30％，함안26．23％，함미18．58％。결론：비뇨계결석성인복잡，술후결석재생복발솔교고，결석성분분석대우지도치료、예방결석복발구유중요적의의。
Objective:To analyze the chemical composition of upper urinary tract stones in 549 cases for the calculus property to plan rationale treatment protocol.Methods:The clinical data were retrospectively analyzed in 549 patients undergone treatment of upper urinary tract calculi in our department be-tween March 2008 and December 2012,and the stone samples were obtained for detection of the chemical components .Results:Prevalence of the upper u-rinary tract stones was seen in from 40 to 90 years of age,yet most frequent between 40 and 49 years.Urinary stones of single component occurred in 201 cases (36.61%) and mixed stones in 348(63.39%).The causative lithiases were composed of calcium phosphate (74.31%),ammoniomagnesium phosphate(17.49%),ammonium urate(9.84%),uric acid(8.20%),calcium carbonate(4.92%) or cystine(4.37%).The most chemical component in the stones was calcium(90.71%),phosphonium(62.30%),ammonium(26.23%) or magnesium(18.58%).Conclusion:Urinary calculus may be associated with complicated causes and has higher incidence of recurrence.Knowledge of the chemical composition of urinary stones helps understanding their etiology,adequate management including prevention and recurrence.
