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目的探讨厦门地区643例泌尿系结石的成分状况,为临床防治泌尿系结石提供决策依据。方法对643例泌尿系结石标本进行红外光谱测定,并结合临床资料进行分析。结果泌尿系结石发病男性多于女性,男、女比为1.9∶1;20～70岁为泌尿系结石高发年龄,占95.02%。上尿路结石明显多于下尿路结石,上、下尿路结石之比为16∶1。结石成分中混合结石占多数,为454例(70.60%),其中以草酸钙和碳酸磷灰石的混合结石为主。结论厦门地区泌尿系结石成分以草酸钙和碳酸磷灰石为主,可能与厦门地区居民好食海鲜和有饮茶习惯有关;了解厦门地区结石成分构成对结石的防治有重要意义。
Objective To investigate the composition of 643 cases of urolithiasis in Xiamen and provide a basis for clinical prevention and treatment of urolithiasis. Methods 643 cases of urinary calculi specimens were measured by infrared spectroscopy, and combined with clinical data analysis. Results The incidence of urinary calculi was higher in males than in females. The male-to-female ratio was 1.9: 1. The age from 20 to 70 was 95.02%. Upper urinary tract stones were significantly more than the lower urinary tract stones, upper and lower urinary tract stones ratio of 16: 1. The majority of mixed stone in the composition of stones, 454 cases (70.60%), of which calcium oxalate and carbonated apatite mixed stones. Conclusion Urinary calculus in Xiamen is mainly composed of calcium oxalate and carbonated apatite, which may be related to the good habits of seafood and drinking habits in Xiamen area. It is of great significance to understand the composition of stones in Xiamen for the prevention and treatment of stones.