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目的探讨新疆地区老年上尿路结石患者结石类型的分布差异。方法采用结石红外光谱自动分析仪对2009年3月-2016年3月在新疆医科大学第一附属医院泌尿中心住院治疗的342例老年上尿路结石患者的结石样本进行结石成分分析,并据此进行结石分类,比较患者的不同结石类型在不同年龄段、性别和民族的差异。结果老年上尿路结石类型主要以含钙结石为主,不同性别、年龄段和民族分布差异均无统计学意义(P>0.05)。尿酸结石男女比例分别为16.0%和4.3%,感染性结石男女比例分别为5.3%和17.9%,60~74岁和≥75岁年龄段患者尿酸结石所占比例分别为13.7%和2.0%,差异均有统计学意义(P<0.05),维吾尔族和汉族结石类型分布比例差异无统计学意义(P>0.05)。结论新疆地区老年上尿路结石患者中以含钙结石为主,其次是尿酸结石;感染性结石中女性多于男性。
Objective To investigate the distribution of stone types in elderly patients with upper urinary tract calculi in Xinjiang. Methods The stones were analyzed by stone infrared spectroscopy automatic analyzer in 342 elderly patients with upper urinary tract stones treated in the Urology Center of the First Affiliated Hospital of Xinjiang Medical University from March 2009 to March 2016, Stone classification, comparison of different types of stones in patients of different ages, gender and ethnic differences. Results The types of upper urinary tract calculi were mainly calcium - bearing stones in the elderly. There were no significant differences in gender, age and ethnic distribution between the two groups (P> 0.05). The ratio of male to female patients of uric acid stones was 16.0% and 4.3% respectively, and the proportion of male to female patients was 5.3% and 17.9% respectively. The proportions of uric acid stones in patients aged 60-74 and ≥75 years were 13.7% and 2.0% respectively. (P <0.05). There was no significant difference in the distribution of stones between Uygur and Han (P> 0.05). Conclusions The elderly patients with upper urinary tract calculi are mainly calcium-bearing stones in Xinjiang, followed by uric acid stones. There are more female than male in infectious stones.