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目的探讨常熟地区泌尿系结石成分现状,以利于临床进行防治。方法采用结石红外光谱自动分析仪对532例患者的结石标本进行结石成分分析,并结合临床资料进行分析。结果 532例泌尿系结石中,男性发病多于女性,男女比例1.67∶1;年龄18~98岁,平均(50.07±14.37)岁;青、中、老年龄段比例为1.40∶1.22∶1,上、下尿路结石比例为8.02∶1。单纯性、混合性结石分别占总结石数的27.82%和72.18%;含钙结石检出率最高,达93.05%,感染性结石52.63%,尿酸结石8.08%,黄嘌呤结石0.38%,胱氨酸结石0.19%。各种结石成分在不同性别、不同部位及各年龄段中的分布存在差异。结论结石成分分析对于了解结石成因、指导治疗和预防结石具有重要的意义。
Objective To investigate the status of urolithiasis in Changshu area in order to facilitate clinical prevention and treatment. Methods Stones were analyzed by stone infrared spectroscopy in 532 cases of stone specimens and analyzed with clinical data. Results In 532 cases of urinary calculi, the incidence of male was higher than that of female, the ratio of male to female was 1.67:1. The average age was from 18 to 98 years (50.07 ± 14.37) years old. The proportion of youth, middle and old age was 1.40:1.22:1 , Lower urinary tract stones ratio of 8.02: 1. Simple and mixed stones accounted for 27.82% and 72.18% of the total number of stones respectively. The highest detection rate of calcium-containing stones was 93.05%, infective stones 52.63%, uric acid stones 8.08%, xanthine stones 0.38% and cystine Stone 0.19%. There are differences in the distribution of various stone components in different genders, different parts and age groups. Conclusion Analysis of the composition of stones is of great significance for understanding the causes of stones, guiding treatment and preventing stones.