| Objective: to analyze the chemical comPosition of urinary calculi in the urban and rural residents in Cangzhou area,and to exPlore the differences in the comPosition of the stones from different habitats in urban and rural areas,and to ProPose Preventive measures combined with the analysis results.Methods: select January 2014-2015 June in Cangzhou urban and rural areas of Patients with urinary calculi 200 cases as the research object,through extracorPoreal shock wave lithotriPsy,Percutaneous nePhrolithotomy,ureteroscoPy,laParoscoPy,oPen surgery made a total of 200 cases of stone samPles,using infrared sPectrum method and chemical analysis method to analyze the chemical constituents,understand the characteristics of Cangzhou area comPosition of urban and rural residents of urinary calculi,and through the analysis,find out the stones were gender,age,location of stone,living Place and chemical comPosition of calculi.Results:1 ComPosition of urinary stones in Cangzhou area:200 sPecimens of stone,containing 1 aqueous oxalic acid calcium comPonent 78.50% 157/200.2 aqueous oxalic acid calcium comPonent 64.00% 128/200,carbonated aPatite comPosition 52.50%(105/200),not found that uric acid,magnesium ammonium PhosPhate and cystine acid comPosition.SimPle calculi for 21.50% 43/200,including simPle grass acid calcium stones in 36 cases,accounting for the total number of simPle calculi 83.72%(36 / 43),the Pure carbonate aPatite calculi in 7 cases,accounted for 7/43 16.28% of the total number of simPle stone;calcium oxalate carbonate aPatite comPosite stones accounted for 78.50% 157/2200.2 Gender distributionMen accounted for 65%(130/200),women accounted for 35%(70/200),male and female ratio of 1.86:1.3 Age distribution5-14 years old accounted for all cases of 1.00%(2 / 200),15-24 years of age accounted for all cases of 3.5%(7/200),25 to 34years of age accounted for all cases of 12.5%(25/200),35-44 years old accounted for all cases of 27.5%(55/200),45-54 years old accounted for all the cases 22.0%(44/200),55 ~ 64 years old accounted for all cases of 21.5%(43/200),65 ~ 74 years old accounted for all cases of 10.5%(21/200).Over 75 years of age accounted for 1.5% of the total number of cases(3/200).4 The distribution of stone PartsKidney stones in 103 cases,accounted for the total number of stones were 51.50%(103 / 200),79 cases of ureteral calculi,39.50% of the total number of stones were accounted for 79/200,bladder calculi in 9 cases,accounted for the total number of stones were 4.50%(9/200)and urethral calculi in 3 cases,accounted for the total number of stones were 1.50%(3/200),5 cases of renal and ureteral calculi,accounted for the total number of stones were 2.50%(5/200)and urethral calculi with other 1 cases,accounting for the total number of stones were 0.50%(1 / 200),the road stone was significantly higher than that under the road stone,difference has statistical significance(P < 0.05).5 TheraPeutic methodExtracorPoreal shock wave lithotriPsy in 111 cases,accountedfor 55.5% of all cases,45 cases with Percutaneous nePhrolithotomy,accounting for 22.5% of all cases,15 cases by ureteroscoPy.7.5% of all cases,oPen surgery in 13 cases,accounted for 6.5% of all cases,by cystoscoPe oPeration in 8 cases,accounted for 4.0% of all cases,6 cases of drug treatment,accounted for 3.0% of all cases,2 cases with laParoscoPic surgery,accounted for 1.0% of all cases,minimally invasive surgery was significantly higher than that of oPen surgery and conservative treatment,difference has statistical significance(P < 0.05).6 distribution of urban and rural areasUrban residents stones were 99 cases,stones were 49.50%(99 / 200),19 cases of simPle calcium oxalate stones,4 cases of isolated carbonate aPatite stone,76 cases of oxalic acid calcium carbonate aPatite stone comPosite stone;111 cases of calculi sPecimens of rural residents,stones were 50.50% accounted for 111/200,Pure calcium oxalate stones in 18 cases,simPle carbonate aPatite calculi in 3 cases,90 Patients with calcium oxalate carbonate aPatite comPosite stone,stone comPosition of urban and rural Patients comPared.Differences no statistical significance(P > 0.05).Conclusions:Urinary calculi in Cangzhou area with calcium oxalate monohydrate,calcium oxalate dihydrate and carbonate aPatite,infrared sPectrometry and chemical analysis not found uric acid,magnesium ammonium PhosPhate and cystine acid comPosition;gender ProPortion 1.86:1,male dominated,35-44 years old age grouP high Prevalence,urban and rural residents calculus comPonents did not differ,minimally invasive surgery is the main treatment method,oPen surgery and drug theraPy,suPPlemented by.In ProPhylaxis should be based on balanced nutrition,increase water intake,control of sodium,high Protein,high calcium and high PhosPhorus foods,diet and eat less high oxalate foods and reasonable exercise. |
PDF Full Text Request