和田地区维吾尔族儿童泌尿系结石成分分析

目的了解和田地区维吾尔族儿童泌尿系结石成分特点,为当地儿童泌尿系结石的治疗和结石复发的预防提供科学的理论指导。方法收集203例和田地区维吾尔族儿童泌尿系结石标本,采用红外光谱法对结石成分进行分析。结果在203例和田地区维吾尔族泌尿系结石患儿中,男童比例(70.94%)高于女童(29.06%),发病高峰年龄段为学龄前期(51.72%);肾脏结石123例(60.59%)、输尿管结石37例(18.23%)、膀胱结石33例(16.26%)、尿道结石10例(4.93%);单一成分结石39例(19.21%),其中一水草酸钙结石19例(48.72%)、尿酸铵结石14例(35.90%),单一结石成分构成男童、女童之间差异无统计学意义(χ^2=3.186,P>0.05);二水草酸钙+尿酸铵结石56例(34.15%)、一水草酸钙+二水草酸钙结石27例(16.46%),结石混合成分构成男童、女童之间差异有统计学意义(χ^2=53.081,P<0.01)。结论和田地区维吾尔族儿童泌尿系结石以草酸钙类为主,且存在年龄及性别差异。

Analysis of pediatric urinary stone composition among Uygur children in Hetian

Objective To study pediatric urinary stone composition among Uygur children in Hetian,and to provide a reference for the treatment of pediatric urinary stone and the prevention of recurrence.Methods A total of 203 cases of pediatric urinary stones from Uygur children in Hetian were collected,and the composition was analyzed by infrared spectroscopy.Results Among the 203 cases,144 cases were from males(70.94%),and 59 cases were from females(29.06%).The peak age of onset was preschool period,accounting for 51.72%.Totally,123 cases came from kidney(60.59%),37 cases came from ureter(18.23%),33 cases came from bladder(16.26%),and 10 cases came from urethra(4.93%).Among 39 cases(19.21%)of single component,calcium oxalate monohydrate was the main component,accounting for 48.72%(19 cases),followed by ammonium urate accounting for 35.90%(14 cases).There was no statistical significance in the composition of single component between males and females(χ2=3.186,P>0.05).For mixed components,calcium oxalate dihydrate and ammonium urate were the main components,accounting for 34.15%(56 cases),followed by calcium oxalate monohydrate and calcium oxalate dihydrate,accounting for 16.46%(27 cases).There was statistical significance in the composition of mixed components between males and females(χ2=53.081,P<0.01).Conclusions Calcium oxalate is the main kind of pediatric urinary stone composition among Uygur children in Hetian,and the difference exists between different ages and sex.