论文部分内容阅读
[目的]探讨新疆南部维吾尔族泌尿系结石患者结石成分与代谢异常的关系。[方法]分析480例尿结石患者结石成分及其中350例24h尿分析,并将二者结合初步探讨代谢关系。[结果]草酸钙结石379例(78.9%),感染性结石12例(2.5%),尿酸结石52例(10.8%),磷酸盐结石30例(6.3%),胱氨酸结石7例(1.5%)。350例24h尿分析结果患者中代谢异常255例(72.9%),其中高钙尿症79例(22.6%),高尿酸尿症123例(35.1%),高草酸尿症85例(24.3%),高尿磷140例(40.0%),低枸橼酸尿症231例(66.0%),低尿镁症117例(33.4%),24h尿量﹤2000ml者142例(40.6%),高胱氨酸尿症4例(1.1%)。[结论]结石与多种代谢异常关系密切;确定结石成分及患者的代谢评价对泌尿系结石的成因、治疗和预防有重要的临床意义。
[Objective] To investigate the relationship between stone components and metabolic abnormalities in Uygur urolithiasis patients in southern Xinjiang. [Methods] The stones of 480 patients with urolithiasis and the analysis of 24h urinalysis in 350 patients were analyzed. The two were combined to explore the metabolic relationship. [Results] 379 cases (78.9%) of calcium oxalate stones, 12 cases (2.5%) of infectious stones, 52 cases (10.8%) of uric acid stones, 30 cases (6.3%) of phosphate stones and 7 cases of cystine stones %). There were 255 patients (72.9%) with metabolic abnormalities in 350 cases of 24h urinalysis, among which 79 cases were hypercalciuria (22.6%), 123 cases (35.1%) were hyperuricemia and 85 cases (24.3% , 140 cases (40.0%) with high urinary phosphorus, 231 cases (66.0%) with low citrateuria, 117 cases (33.4%) with low urinary magnesium, 142 cases (40.6%) with 24h urine output <2000ml, 4 cases of aciduria (1.1%). [Conclusion] The stones are closely related to various metabolic abnormalities. It is of great clinical significance to determine the composition of stones and the metabolic evaluation of the patients on the causes, treatment and prevention of urolithiasis.