| 摘要: |
| ［摘要］ 目的 了解南宁地区复杂性肾结石的成分，为其治疗及预防提供依据。方法 回顾分析98例南宁地区复杂性肾结石的红外光谱结石成分及相关临床资料。结果 93例(94.9%)为含钙混合性结石和感染性结石,其中一水草酸钙结石2例(2.0%)，一水草酸钙和碳酸磷灰石结石20例(20.4%),一水草酸钙、二水草酸钙和碳酸磷灰石结石16例(16.3%),一水草酸钙和无水尿酸结石12例(12.2%),一水草酸钙、碳酸磷灰石和无水尿酸结石13例(13.3%),一水草酸钙、六水磷酸镁铵和碳酸磷灰石结石9例(9.2%),一水草酸钙、二水草酸钙、六水磷酸镁铵和碳酸磷灰石结石8例(8.2%),六水磷酸镁铵和碳酸磷灰石结石13例(13.3%)。单一无水尿酸结石5例(5.1%)。结论 南宁地区复杂性肾结石绝大多数以草酸钙为主的混合性或感染性结石,碳酸磷灰石、尿酸和磷酸镁铵是其常见的混合成分。体积较大的复杂性肾结石成分复杂,生长过程中常多种病因参与,应加强其病因诊断和针对多种病因采用积极的预防性治疗。 |
| 关键词: 复杂性肾结石 结石成分分析 |
| DOI：10.3969/j.issn.1674-3806.2013.07.09 |
| 分类号:R 692.4 |
| 基金项目:南宁市科学研究与技术开发计划项目（编号：ZC200904C） |
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| Infrared spectrum analysis on composition of renal complex calculi in Nanning area |
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HUANG Heng-qian, FU Jie-xin, XIE Guang-yu, et al.
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Department of Urology,the First People’s Hospital of Nanning,Guangxi 530022,China
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| Abstract: |
| ［Abstract］ Objective To investigate the composition of renal complex calculi in Nanning area in order to provide a basis for its treatment and prevention.Methods Infrared spectrum analysis of the stones from 98 patients with renal complex calculi in our hospital was performed and the related clinical data about the patients were collected.Results Most(93, 94.9%) of the renal complex calculi in the 98 patients were mixed calculi or infection stones, including calcium oxalate monohydrate(2,2.0%), calcium oxalate monohydrate plus carbonate apatite(20,20.4%), calcium oxalate monohydrate and dehydrate plus carbonate apatite(16,16.3%),calcium oxalate monohydrate plus anhydrous uric acid(12,12.2%), calcium oxalate monohydrate plus carbonate apatite plus anhydrous uric acid(13, 13.3%),calcium calculi plus infection stones(17, 17.3%), infection stones(13, 13.3%).Conclusion Most of the large renal complex calculi are mixed calculi oxalate or infection stones, and carbonate apatite, uric acid and magnesium ammonium phosphate are their compositions. during its growth, many facts are involved. It should be necessary to perform an active preventive treatment aimed at different pathological courses. |
| Key words: Renal complex calculus Analysis of stone composition |
