| Objective:By exploring:1,The incidence of upper urinary tract stones in the kidney,kidney and ureter,ureter in western China(Sichuan,Yunnan,Guizhou);2,Is there a difference in the prevalence of upper urinary tract stones between men and women;3,The single component stones and mixed stones in the upper urinary tract in the western region;4,The magnesium ammonium phosphate stone,uric acid stone,and calcium oxalate stone are different in male and female patients;5,Is there any difference in the composition of calcium oxalate stones,magnesium ammonium phosphate stones and uric acid stones in patients with hypertension,diabetes,obesity,hyperlipidemia,metabolic syndrome and patients without metabolic syndrome.To provide a theoretical basis for the prevention of upper urinary tract stones in the western China.Methods:A total of 1528 cases of upper urinary tract Calculi treated in our hospital from January2013 to June 2017 were collected.The clinical data of the patients were collected and analyzed.The stem of stones include extracorporeal shock wave lithotripsy,stones removed by various operations,and stones excreted on the basis of oral expulsion stones.The use of LIIR-20 infrared stone composition analyzer manufactured by Tianjin Blue Mould to detect stone composition.Patients were admitted to the hospital routinely to measure height,weight,blood pressure and fasting blood glucose,blood lipids,and to sort out the patient’s clinical data.Metabolic syndrome adopts diagnostic criteria recommended by the Chinese Medical Association Diabetes Society.Statistical Analysis:SPSS19.0 statistical software was used for statistical analysis of the data,the data were used to describe the frequency and composition ratio,the comparison between groups usingχ~2 test,test levelα=0.05.Results:1,Among1528 cases of upper urinary tract stones,705 were kidney stones(46.14%),329were kidney and ureteral stones(21.53%),and 494 were ureteral stones(32.33%);2,Among 1,528 patients with upper urinary tract stones,there were1024 cases of male patients and 504 cases of female patients.There were more male patients than female patients and the difference was statistically significant;3,Among the 1528 upper urinary tract stones,429 simple stones(28.08%)and 1099(71.92%)mixed stones were found.Second,there were1414 cases of calcium oxalate stones(92.54%),998 cases of calcium carbonate apatite(65.31%),113 cases of uric acid stones(7.40%),and 103 cases of magnesium ammonium phosphate(6.74%);4,There was no significant difference in upper urinary tract calculus between male and female patients with calcium oxalate stones(P>0.05),the difference was not statistically significant;There was no significant difference in upper urinary tract calculus between male and female patients with infectious stones(P>0.05),was not statistically significant;There was no significant difference in upper urinary tract calculus between male and female patients with uric acid stones(P>0.05),the difference was not statistically significant;5.Comparison of calcium oxalate stones,infectious stones and uric acid stones in patients with hypertension,diabetes,obesity,hyperlipidemia and metabolic syndrome and those without metabolic syndrome:(1)In hypertensive patients compared with patients with non metabolic syndrome(non-MetS)patients:Calcium oxalate stones、infectious stones and uric acid stones(P>0.05),the difference was not statistically significant.(2)In diabetes patients compared with patients with non-MetS patients:Calcium oxalate stones,uric acid stones(P>0.05),the difference was not statistically significant;infectious stones phosphate stones(P<0.05),the difference was statistically significant.(3)In obesity patients compared with non-MetS patients:Calcium oxalate stones(P>0.05),the difference was not statistically significant;infectious stones、uric acid stones(P<0.05),the difference was statistically significant.(4)In hyperlipidemia patients compared with non-MetS patients:alcium oxalate stones、infectious stones、uric acid stones(P>0.05),the difference was not statistically significant.(5)In MetS patients compared with non-MetS patients:Calcium oxalate stones,uric acid stones(P>0.05),the difference was not statistically significant;infectious stones(P<0.05),the difference was statistically significant.Conclusion:1.In the West China,the most patients with kidney stones;2.In the West China,males have more upper urinary tract stones than women;3.In the West China,upper urinary tract stones were mainly composed of mixed stones;4.In the West China,males and females patients are susceptible to uric acid stones and infectious stones;5.Patients with diabetes,obesity and metabolic syndrome are predisposed to infectious stones,and obese patients are susceptible to uric acid stones. |
PDF Full Text Request