国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2014年
6期
837-841
,共5页
阿孜古力·克热木%郭峰%艾克拜尔·吾曼尔%迪力夏提·吾麦尔%汪清
阿孜古力·剋熱木%郭峰%艾剋拜爾·吾曼爾%迪力夏提·吾麥爾%汪清
아자고력·극열목%곽봉%애극배이·오만이%적력하제·오맥이%왕청
尿路结石%儿童%维吾尔族
尿路結石%兒童%維吾爾族
뇨로결석%인동%유오이족
Urinary Calculi%Child%UYGUR NATIONALIGY
目的 通过对维吾尔族小儿尿路结石成分分析及其资料进行分析,进一步探讨维吾尔族小儿尿路结石成分特点及其相关的因素.方法 对2009年3月至2011年6月之间在新疆维吾尔自治区人民医院住院的200例维吾尔族小儿尿路结石患者的结石成分分析及相关资料进行回顾性分析.结果 200例维吾尔族患儿的平均年龄是6.62 ±4.05岁(0.8～14.0岁).性别比(男139例:女61例)是2.28:1.上尿路结石139例(69.5％)(包括肾结石101例,输尿管结石38例),下尿路结石13例(6.5％)(包括膀胱结石9例,尿道结石4例)及同时存在多处尿路结石者48例(24％).红外光谱分析显示:131例(65.5％)为单一成分结石,而69例(34.5％)为混合成分结石.主要的单一成分结石为尿酸铵结石79例(60.3％),而主要的混合成分结石是含草酸钙混合物63例(91.3％).尿酸结石成分在所有结石中占114例(57％).尿酸铵结石成分结石3岁以下患儿为44例(74.6％),3～6岁患儿为15例(33.3％),6～ 14岁患儿为20例(20.8％).随着年龄增长,尿酸成分结石例数减少,而草酸钙成分结石例数增多.结论 维吾尔族小儿尿路结石成分为单一的尿酸结石和草酸钙混合结石为主,随着年龄增长,尿酸成分结石减少,草酸钙成分结石增多,这种结石成分特点以及不同年龄段结石成分变化可能与该地区高热干旱气候以及维吾尔族特殊饮食习惯以及随着年龄饮食结构变化有关.
目的 通過對維吾爾族小兒尿路結石成分分析及其資料進行分析,進一步探討維吾爾族小兒尿路結石成分特點及其相關的因素.方法 對2009年3月至2011年6月之間在新疆維吾爾自治區人民醫院住院的200例維吾爾族小兒尿路結石患者的結石成分分析及相關資料進行迴顧性分析.結果 200例維吾爾族患兒的平均年齡是6.62 ±4.05歲(0.8～14.0歲).性彆比(男139例:女61例)是2.28:1.上尿路結石139例(69.5％)(包括腎結石101例,輸尿管結石38例),下尿路結石13例(6.5％)(包括膀胱結石9例,尿道結石4例)及同時存在多處尿路結石者48例(24％).紅外光譜分析顯示:131例(65.5％)為單一成分結石,而69例(34.5％)為混閤成分結石.主要的單一成分結石為尿痠銨結石79例(60.3％),而主要的混閤成分結石是含草痠鈣混閤物63例(91.3％).尿痠結石成分在所有結石中佔114例(57％).尿痠銨結石成分結石3歲以下患兒為44例(74.6％),3～6歲患兒為15例(33.3％),6～ 14歲患兒為20例(20.8％).隨著年齡增長,尿痠成分結石例數減少,而草痠鈣成分結石例數增多.結論 維吾爾族小兒尿路結石成分為單一的尿痠結石和草痠鈣混閤結石為主,隨著年齡增長,尿痠成分結石減少,草痠鈣成分結石增多,這種結石成分特點以及不同年齡段結石成分變化可能與該地區高熱榦旱氣候以及維吾爾族特殊飲食習慣以及隨著年齡飲食結構變化有關.
목적 통과대유오이족소인뇨로결석성분분석급기자료진행분석,진일보탐토유오이족소인뇨로결석성분특점급기상관적인소.방법 대2009년3월지2011년6월지간재신강유오이자치구인민의원주원적200례유오이족소인뇨로결석환자적결석성분분석급상관자료진행회고성분석.결과 200례유오이족환인적평균년령시6.62 ±4.05세(0.8～14.0세).성별비(남139례:녀61례)시2.28:1.상뇨로결석139례(69.5％)(포괄신결석101례,수뇨관결석38례),하뇨로결석13례(6.5％)(포괄방광결석9례,뇨도결석4례)급동시존재다처뇨로결석자48례(24％).홍외광보분석현시:131례(65.5％)위단일성분결석,이69례(34.5％)위혼합성분결석.주요적단일성분결석위뇨산안결석79례(60.3％),이주요적혼합성분결석시함초산개혼합물63례(91.3％).뇨산결석성분재소유결석중점114례(57％).뇨산안결석성분결석3세이하환인위44례(74.6％),3～6세환인위15례(33.3％),6～ 14세환인위20례(20.8％).수착년령증장,뇨산성분결석례수감소,이초산개성분결석례수증다.결론 유오이족소인뇨로결석성분위단일적뇨산결석화초산개혼합결석위주,수착년령증장,뇨산성분결석감소,초산개성분결석증다,저충결석성분특점이급불동년령단결석성분변화가능여해지구고열간한기후이급유오이족특수음식습관이급수착년령음식결구변화유관.
Objectives We aimed to evaluate the clinical features of urolithiasis in Uyghur children and to analyze urinary stone composition using infrared spectroscopy in order to gain insights into the cause of this disease in this specific population.Methods Materials and method We retrospectively evaluated 200 Uyghur children with urolithiasis admitted to the People's Hospital of Xinjiang Uyghur Autonomous Region between March 2009 and June 2011.Results Stone analysis was performed in 200 Uyghur children (139boys and 61 girls).The mean age of all children was 6.62 ±4.05 years (range,0.8 ～ 14.0 years).The overall sex ratio of the participants [male (M):female (F)] was 2.28:1.The majority of the stones identified in our study were located in the upper urinary tract 139cases (69.5％) ; 13 cases(6.5％),were present in the lower urinary tract and in 48cases(24％),they were present in both the upper and the lower urinary tracts.Infrared spectroscopic analysis showed that 131 (65.5％) patients had pure single-component stones,while 69 (34.5％) had stones of mixed composition.The most commonly found pure stone was ammonium urate (60.3％),while the most common mixed stone was a calcium oxalate mixture (91.3％).Uric acid stones made up 57％ of all stones.With increasing age,uric acid composition calculus were decreased,and the calcium oxalate stone composition cases increased.Conclusions We believe that the hot climate combined with the variation of nutritional habits of Uyghur population significantly affects the development of pediatric urolithiasis in this ethnic group.
