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目的:分析讨论新疆维吾尔族和汉族泌尿系结石病中结石成分的不同及原因。方法:收集我院2012年3月至2014年6月通过腔镜299例,开放式18例手术和用红外线光谱分析的尿路结石患者317例(维吾尔族152例和汉族165例)的临床资料,对患者的年龄,性别,地理分布,血液检查,尿检试验进行分析。使用Logistic回归对患者的临床特征和结石之间的关联进行分析。结果:维吾尔族和汉族患者在地理分布,尿液中尿酸、钾、磷、镁的浓度,24小时尿量,以及结石成分中一水草酸钙、二水草酸钙+碳酸磷灰石、尿酸结石上具有显著差异,而在性别、家族史、并发症、结石的部位、其他血液和尿液检测结果差异不显著。结论:维吾尔族和汉族泌尿系结石患者之间结石成分的不同是由于地理分布的结果 。
OBJECTIVE: To analyze and discuss the differences and causes of stones in urolithiasis between Uighur and Han nationalities in Xinjiang. Methods: The clinical data of 317 patients (152 Uygur and 165 Han patients) with urolithiasis in our hospital from March 2012 to June 2014 were analyzed retrospectively, including 299 cases of endoscopic surgery, 18 cases of open surgery and infrared spectroscopy , The patient’s age, gender, geographical distribution, blood tests, urine tests were analyzed. Logistic regression was used to analyze the association between the patient’s clinical characteristics and stones. Results: Uygur and Han patients were geographically distributed. Urine concentrations of uric acid, potassium, phosphorus and magnesium, urinary excretion in 24 hours, and calcium oxalate monohydrate, calcium oxalate dihydrate, carbonate apatite, uric acid stones There are significant differences in the blood, urine and urine in the gender, family history, complications, stones, the test results were not significantly different. CONCLUSION: The difference in stone composition between Uighur and Han urolithiasis is due to the geographical distribution.