粤北石灰岩地区尿路结石成份分析与饮食预防(附601例报告)

目的探讨粤北石灰岩地区尿路结石的成份状况,为临床宏观防治提供帮助。方法对601例尿路结石标本进行化学成分测定,并结合临床资料进行比较。结果尿路结石男性发病多于女性,男、女比为1.43∶1,20~50岁为高发年龄,上尿路结石明显多于下尿路结石,上、下尿路结石之比为3.97∶1。结石中草酸钙检出率80%,尿酸盐22%,磷酸钙27.3%,磷酸镁铵结石多见于感染性结石病例。结论结石成分分析对于了解结石成因、预防结石形成和复发具有重要的意义。

ANALYSIS OF CONSTITUENTS AND PREVENTION OF URINARY STONES IN YUEBEI DIS-TRICT(RE PORT OF 601 CASES)

Objective To analyze the chemical constitents and seek for methods in prevention and treatment of urinary stone in Yuebei district of Guangdong province.Methods Chemical analysis was carried out on 601 samples which were from the operation,either by ESWL or discharged naturally.The chemical constituents of the stones were measured and analyzed with the clinical data.ResuIts Urinary stones were more often found in males than in females,and the ratio was 1.43,especially in the range of 20 to 50 years of age.The upper system stones were more frequently found than the lower system stones.Calcium oxalate were found in 80% of the stones,uricCstones 22%,and phosphate stones 27.3%.Dagnesium ammonium were frequently found in patients with urinary infection.Cystine stones were ravely found ConcIusion Chemical analysis of urinary stones is a method which can help identify the constituents of stones and provide important clues about why it has been formed.It may also provide information to the treatment and prevention of stones.