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目的分析温岭市尿路结石的成分及探讨防治方法。方法选择2014年6月至2016年7月在温岭市第四人民医院治疗的299例患者的尿路结石标本,采用红外光谱进行成分分析。结果本组病例以混合性结石占多数,共162例,占样本总量的54.2%,并以草酸钙和磷酸钙混合的结石最多,单纯性结石137例,其中无水尿酸结石98例,占总量的32.8%;一水草酸钙结石32例,占总量的10.7%。尿路结石成分检出例数由多到少前三类依次是:草酸钙结石、尿酸结石和碳酸磷灰石结石。结论温岭地区尿路结石以草酸钙结石、尿酸结石和碳酸磷灰石结石为主,尿酸铵、六水磷酸铵镁、胱氨酸检出较少,而且结石多以混合的方式存在,男性明显多于女性,这可能跟温岭当地的饮食习惯和环境有关。
Objective To analyze the composition of urinary tract stones in Wenling and its prevention and treatment. Methods A total of 299 patients with urinary calculi treated in the Fourth People’s Hospital of Wenling from June 2014 to July 2016 were selected and analyzed by infrared spectroscopy. Results This group of patients with mixed stones accounted for the majority, a total of 162 cases, accounting for 54.2% of the total sample, and the calcium oxalate and calcium phosphate mixed stones up to 137 cases of simple stones, of which 98 cases of anhydrous uric acid stones, accounting for 32.8% of the total; 32 cases of calcium oxalate stones, accounting for 10.7% of the total. The number of urinary tract stones detected by the number of cases from the first three were: calcium oxalate stones, uric acid stones and carbonated apatite stones. Conclusions Urinary calculi in Wenling district are mainly calcium oxalate stones, uric acid stones and carbonated apatite stones. Fewer ammonium sulfate, ammonium magnesium phosphate hexahydrate, and cystine are detected, and stones are mostly found in a mixed manner with obvious male More than females, which may be related to Wenling’s local diet and the environment.