Abstract:

Objective　To analyze the components of calculi and metabolic evaluation of patients with urinary calculi in Huishui area. Methods　From January 2023 to July 2024, the components of calculi and 24-hour urine analysis results of 226 patients with urinary calculi in Huishui area were analyzed. Among the 226 patients, there were 148 males and 78 females; they were (48.7±6.9) years old. The χ² test was used for the statistical analysis. Results　Among the 216 cases who took component analysis, 74 cases (34.26%) were identified as calcium oxalate calculi, 17 cases (7.87%) uric acid calculi, and 4 cases (1.85%) calcium phosphate calculi; a total of 121 cases (56.02%) presented various types of mixed calculi. Among the 226 cases who took 24-hour urine analysis, 220 cases (97.35%) had abnormal metabolism; there were 20 cases (8.85%) of hypercalciuria, 179 cases (79.20%) of hypomagnesuria, 35 cases (15.49%) of hypernatriuria, 12 cases (5.31%) of hyperuricosuria, 1 case (0.44%) of hyperphosphaturia, and 76 cases of low urine volume; 94 cases (41.59%) had 1 abnormal metabolism, 71 cases (31.42%) 2, 7 cases (3.10%) 3, and 3 cases (1.33%) 4. Conclusion　The prevalence of urinary calculi in Huishui area is associated with the local environment, water quality, and metabolic disorders.

Key words:

Urinary calculi, Component analysis, Metabolic evaluation

摘要：

目的　分析惠水地区泌尿系结石患者结石成分和代谢评估。方法　分析2023年1月至2024年7月惠水地区226例泌尿系结石患者结石成分及24 h尿液分析结果。226例患者中，男148例，女78例，年龄（48.7±6.9）岁。采用χ²检验进行统计分析。结果　216例结石成分分析中，草酸钙结石74例（34.26%），尿酸结石17例（7.87%），磷酸钙结石4例（1.85%），各类混合性结石121例（56.02%）。226例24 h尿液分析检测中，220例（97.35%）存在代谢异常；其中，高钙尿20例（8.85%），低镁尿179例（79.20%），高钠尿35例（15.49%），高尿酸尿12例（5.31%），高磷尿1例（0.44%），低尿量76例（33.63%）；单纯1种代谢异常94例（41.59%），合并2种71例（31.42%），合并3种7例（3.10%），合并4种3例（1.33%）。结论　惠水地区泌尿系结石发病率与区域环境、水质以及代谢异常相关。

关键词:

泌尿系结石, 结石成分分析, 代谢评估