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目的研究四川南充地区尿石症患者尿石成分,并与国内其他地区进行比较,为临床预防、治疗提供依据。方法采用结石红外光谱自动分析系统对2011年3月至2012年9月255例南充市尿路结石患者结石标本进行成分测定,结合临床资料进行研究,并收集国内其他地区报道的结石成分文献进行分析研究。结果南充地区尿路结石以草酸钙(91.37%)、碳酸磷灰石(62.35%)为主要成分,结石患者男女比为1.90誜1,上尿路结石占87.84%(224/255),下尿路结石占12.16%(31/255),上、下尿路结石比为7.23誜1,上尿路结石患者男女比例为1.60誜1,下尿路结石患者男女比例为14.5誜1。结论南充地区泌尿系结石成分和国内其他地区结石成分无明显差异,但下尿路结石患者男性所占比例明显高于其他地区。
Objective To study urinary composition of urolithiasis in Nanchong area of Sichuan Province and compare with other areas in China to provide evidence for clinical prevention and treatment. Methods The stone infrared spectroscopy automatic analysis system was used to determine the components of calculi from 255 cases of urolithiasis in Nanchong City from March 2011 to September 2012. The data were collected from clinical data and collected from other parts of China the study. Results The urinary calculi in Nanchong district were mainly composed of calcium oxalate (91.37%) and carbonated apatite (62.35%). The stone-to-stone ratio was 1.90 誜 1, 87.84% (224/255) Stones accounted for 12.16% (31/255), the ratio of upper and lower urinary tract stones was 7.23 誜 1, the ratio of male to female patients was 1.60 誜 1 in upper urinary calculi, and the ratio of male to female in lower urinary tract stones was 14.5 誜 1. Conclusion The urolithiasis composition in Nanchong area is similar to that in other parts of China. However, the proportion of men with lower urinary tract calculi is significantly higher than that in other areas.