755例尿路结石成分分析及临床意义.docVIP

755例尿路结石成分分析及临床意义 孙亮，李九智，文彬( 摘要：目的 对新疆地区尿路结石成分进行分析，为临床防治尿路结石提供依据。方法 收集新疆地区755例尿路结石标本，进行成分测定并结合临床资料进行比较。结果 尿石症男性发病多于女性，汉族与维族发病年龄、结石位置存在差异。结石成分单种及混合成分比例相当。结论 结石成分分析对于了解尿路结石的成因、防治结石形成和复发具有重要的临床意义。 关键词 尿路结石; 成分分析; 红外光谱法; 防治 中图分类号 R691.4 　　 　 文献标识码 A Analysis of constituents and Clinical significance of urinary stones in Xinjiang district (report of 755 cases) Sun Liang1，Li Jiuzhi2，Wen Bin 3. (1 department of urinary surgery, Xinjiang Clinical College of Anhui Medical University, Urumqi 830001；2，3 department of urinary surgery, People’s Hospital of Xinjiang Urgar Autonomous Region,Urumqi 830001) Abstract Objective To provide theoretical basis for clinical personalized treatment and prevention lithiasic recurrence in Xinjiang Uygur Autonomous Region. Methods The composition of stones from 755 cases of urinary urolithiasis cases in Xinjiang Uygur Autonomous Region were retrospectively analyzed，whose clinical data were compared as well. Results The incidence of urinary stone in male was higher than their female counterpart. There were great difference in mean age of most suscepitble population of lithangiuria and location of the stones between Uygur and Han nationality. The analysis showed that stones contained pure composition and mixed component were comparable. Conclusion The exploring of composition of uriary calculi component is valuable for investigating the etiology of stones,for preventing stone formation and recurrence. Key words urinary tract stones; infrared spectrum method; composition analysis; treatment and prevention 泌尿系结石是一种全球性的疾病,其人群患病率为1%～[1],新疆是尿路结石的高发地区。随结石成分的不同，未经防治的患者复发率高达50%及以上，而接受防治的患者可降至15%及以下，因此确定结石的成分、性质对尿路结石的防治具有重要的临床意义。我们采用红外光谱法测定自然排出、体外冲击波碎石或手术取出结石，结合临床资料，进行分析。 1 材料和方法 1.1 一般资料 2009年2月～2011年10月期间经自排（15例）、体外冲击波碎石术（43例）或手术（697例）方法收集新疆地区就诊我院的住院和门诊尿路结石标本755例。 1.2 检测方法 采用红外光谱分析系统LIIR-20型分析仪（蓝莫德( 天津) 科学仪器有限公司生产）进行检测，严格按说明进行操作和识读。 1.3 统计学处理 应用SPSS13.0统计软件,率的比较采用χ2检验,以P0.05为差异有统计学意义。 2 结果 2.1 结石发生的人群结构和民族特点 其中男性患者552例，女