新疆哈密地区汉族泌尿系结石患者尿路结石成分分析(1)
摘要：目的 研究新疆哈密地区汉族泌尿系结石患者的尿路结石成分及其分布特征。方法 收集选取2013年4月～2016年12月我院汉族泌尿系结石患者557例，分析其结石成分，并对其结石构成进行检测。结果 结石患者男女比为2.92：1，上、下尿路结石比为6.96：1。检出率最高的为草酸钙469例(84.22%)，其次是碳酸磷灰石216例(38.79%)，尿酸85例(15.27%)、磷酸镁铵62例(11.13%)、胱氨酸3例(0.54%)等成分结石占比较低。患者的发病率随年龄逐渐升高，40～60岁时达高峰。尿路结石主要分布于肾脏，占60.32%。各部位的尿路结石均以草酸钙、碳酸磷灰石为主，尿酸等成分较少。结论 新疆哈密地区汉族泌尿系结石患者的结石成分以草酸钙为主，结石发病率较高与饮食结构及生活习惯关系密切。
关键词：新疆汉族;尿路结石;结石成分;红外光谱
中图分类号：R691.4 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.15.042
文章编号：1006-1959(2019)15-0129-03
Abstract：Objective To study the composition and distribution of urinary calculi in Han patients with urinary calculi in Hami area， Xinjiang. Methods A total of 557 patients with urinary calculi from Han nationality from April 2013 to December 2016 were enrolled. The stones were analyzed and their stones were detected.Results The male-female ratio of patients with stones was 2.92：1， and the ratio of upper and lower urinary calculi was 6.96：1. The highest detection rate was 469 cases (84.22%) of calcium oxalate， followed by 216 cases (38.79%) of carbonate apatite， 85 cases (15.27%) of uric acid， 62 cases (11.13%) of ammonium magnesium phosphate，3 cases (0.54%)of cystine and other components of the stone accounted for a relatively low. The incidence of patients gradually increases with age， reaching a peak at 40 to 60 years of age. Urinary calculi are mainly distributed in the kidneys， accounting for 60.32%. The urinary calculi in each part are mainly calcium oxalate and carbonate apatite， and the components such as uric acid are less. Conclusion The calculi composition of Han patients with urinary calculi in Hami area of Xinjiang is mainly composed of calcium oxalate. The high incidence of stones is closely related to dietary structure and living habits.
Key words：Xinjiang Han nationality;Urinary calculi;Stone composition;Infrared spectrum
泌尿系結石是泌尿外科的常见病之一，相关研究表明其发病机制与环境、饮食习惯等因素有一定关系[1]，且具有明显的地域特征，南方发病率明显高于北方。国内虽有较多尿路结石成分分析的研究，但其样本多来源于内地，因此在新疆汉族中开展肾结石的流行病学调查，有助于了解汉族人群在环境及饮食习惯改变较大情况下的成分分布特征，为当地尿石症的防治提供依据。因此，本研究选择我院557例尿路结石患者开展调查，现报告如下。
1资料与方法
1.1一般资料 选取2013年4月～2016年12月在新疆生产建设兵团第十三师红星医院泌尿外科门诊和住院部同期收治的尿路结石患者557例，其中男性415例，女性142例，年龄1～94岁，平均年龄51.80岁，上尿路结石487例，下尿路结石70例。所有患者均为新疆哈密地区各市县常住汉族居民，排除疆外尿路结石患者，结石送往石河子大学医学院第一附属医院泌尿道外科进行成分分析。, http://www.100md.com(霍旺盛 雷婷婷 王艳军)
关键词：新疆汉族;尿路结石;结石成分;红外光谱
中图分类号：R691.4 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.15.042
文章编号：1006-1959(2019)15-0129-03
Abstract：Objective To study the composition and distribution of urinary calculi in Han patients with urinary calculi in Hami area， Xinjiang. Methods A total of 557 patients with urinary calculi from Han nationality from April 2013 to December 2016 were enrolled. The stones were analyzed and their stones were detected.Results The male-female ratio of patients with stones was 2.92：1， and the ratio of upper and lower urinary calculi was 6.96：1. The highest detection rate was 469 cases (84.22%) of calcium oxalate， followed by 216 cases (38.79%) of carbonate apatite， 85 cases (15.27%) of uric acid， 62 cases (11.13%) of ammonium magnesium phosphate，3 cases (0.54%)of cystine and other components of the stone accounted for a relatively low. The incidence of patients gradually increases with age， reaching a peak at 40 to 60 years of age. Urinary calculi are mainly distributed in the kidneys， accounting for 60.32%. The urinary calculi in each part are mainly calcium oxalate and carbonate apatite， and the components such as uric acid are less. Conclusion The calculi composition of Han patients with urinary calculi in Hami area of Xinjiang is mainly composed of calcium oxalate. The high incidence of stones is closely related to dietary structure and living habits.
Key words：Xinjiang Han nationality;Urinary calculi;Stone composition;Infrared spectrum
泌尿系結石是泌尿外科的常见病之一，相关研究表明其发病机制与环境、饮食习惯等因素有一定关系[1]，且具有明显的地域特征，南方发病率明显高于北方。国内虽有较多尿路结石成分分析的研究，但其样本多来源于内地，因此在新疆汉族中开展肾结石的流行病学调查，有助于了解汉族人群在环境及饮食习惯改变较大情况下的成分分布特征，为当地尿石症的防治提供依据。因此，本研究选择我院557例尿路结石患者开展调查，现报告如下。
1资料与方法
1.1一般资料 选取2013年4月～2016年12月在新疆生产建设兵团第十三师红星医院泌尿外科门诊和住院部同期收治的尿路结石患者557例，其中男性415例，女性142例，年龄1～94岁，平均年龄51.80岁，上尿路结石487例，下尿路结石70例。所有患者均为新疆哈密地区各市县常住汉族居民，排除疆外尿路结石患者，结石送往石河子大学医学院第一附属医院泌尿道外科进行成分分析。, http://www.100md.com(霍旺盛 雷婷婷 王艳军)