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胆色素类结石和胆固醇类结石在病因、治疗、预防等方面均有所不同,需加以区别。此外,非手术排石疗法从粪便中排出的结石,也须要加以鉴定,而过去所应用的化学定量分析方法不适用于一般的临床工作。我们根据临床血、尿、胆红索、胆固醇、钙离子等分析方法的原理,开展了快速胆石分析法,其中对胆红素及胆固醇的分析方法较好。我们用本方法对经过定量分析测定成分的胆石标本47份进行多次鉴定,其结果为:胆红素及胆固醇成份的检出率为100％,分类正确率为97.9％,只有一份标本的结果与原分类不符合,经检查,可能与标本取材部位不同有关。现将
Gallstone pigment stones and cholesterol stones are different in etiology, treatment and prevention, and need to be distinguished. In addition, the stones that are discharged from feces through non-surgical stone therapy also need to be identified. The chemical quantitative methods used in the past are not suitable for general clinical work. Based on the principles of analysis of clinical blood, urine, bilirubin, cholesterol, and calcium ions, we performed a rapid gallstone assay, in which analysis methods for bilirubin and cholesterol were better. We used this method to identify 47 gallstone specimens that had been quantitatively analyzed. The results showed that the detection rate of bilirubin and cholesterol was 100%, and the correct classification rate was 97.9%. There was only one specimen. The results did not meet the original classification. After inspection, it may be related to the different parts of the sample. Now