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目的:分析湖北地区泌尿系结石化学成分的构成,为本地区结石的防治提供依据。方法:采用结石红外光谱自动分析系统对2011年11月~2012年8月期间收集到的湖北地区泌尿系结石232例进行成分分析。结果:232例结石中,各成分的检出率为:一水草酸钙(COM)85.34%,二水草酸钙(COD)62.93%,碳酸磷灰石(CA)24.14%,无水尿酸(UA)12.93%,二水磷酸氢钙(PH)4.31%,磷酸铵镁(MAP)6.90%,黄嘌呤1.29%,胱氨酸(CYS)1.29%,方解石0.86%,尿酸铵(AU)0.86%。含草酸钙成分结石86.21%,含磷酸钙成分结石28.45%,含磷酸铵镁成分结石6.90%,含尿酸成分结石13.79%,含胱氨酸成分结石1.29%。混合成分结石181例(78.02%),尿路结石发病男性多于女性,男女比例为3.14∶1。结论:湖北地区泌尿系结石以混合性结石为主,COM检出率最高,其次为COD。结石成分分析对于结石的防治有重要意义。
OBJECTIVE: To analyze the composition of urinary calculi in Hubei Province and provide basis for the prevention and treatment of stones in this area. Methods: The stone infrared spectroscopy automatic analysis system was used to analyze the composition of 232 urolithiasis in Hubei Province from November 2011 to August 2012. Results: The detection rate of each component was 85.34% for COM, 62.93% for COD, 24.14% for CA, and UA ), Dicalcium phosphate (PH) 4.31%, MAP magnesium phosphate (MAP) 6.90%, xanthine 1.29%, cystine (CYS) 1.29%, calcite 0.86%, and ammonium urate (AU) 0.86%. 86.21% calcium oxalate, 28.45% calcium phosphate, 6.90% calcium ammonium phosphate, 13.79% uric acid and 1.29% cystine. 181 cases (78.02%) were mixed stones, urinary tract stones were more common in women than women, the ratio of male to female was 3.14:1. Conclusion: Urinary calculi in Hubei Province are dominated by mixed stones, with the highest detection rate of COM, followed by COD. Analysis of the composition of stones for the prevention and treatment of stones of great significance.