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| 输尿管上段结石患者结石成分及预防效果分析 |
| The composition and preventive effect of stones in patients with upper ureteral calculi |
| 投稿时间：2022-11-10 |
| DOI：10.3969/j.issn.1000-0399.2023.09.011 |
| 中文关键词: 输尿管上段结石 不同年龄 草酸钙类结石 复发 |
| 英文关键词: Upper ureteral calculus Different ages Calcium oxalate calculus Recrudescence |
| 基金项目:山东省医药卫生科技发展计划项目（编号：2019WS102） |
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| 中文摘要: |
| 目的 分析不同年龄组输尿管上段结石患者结石成分特点，并观察饮食预防对患者复发的效果。方法 选取2019年3月至2021年5月入山东省聊城市第二人民医院泌尿外科手术取石治疗的输尿管上段结石患者392例。将术后取得的结石进行检测，分析结石种类及成分在不同年龄、性别患者中的分布情况。根据随访结果将严格执行个体化饮食建议的饮食干预患者列为饮食干预组（276例），其余为非饮食干预组（116例），对比两组复发情况，并比较两组结石复发患者结石成分分布情况。结果 不同年龄段和性别患者中一种、两种、三种和四种结石成分占比比较，差异均无统计学意义（P>0.05）。不同年龄组、性别患者结石主要成分都以草酸钙类成分为主，不同性别患者结石主要成分之间对比，差异有统计学意义（P<0.05）。饮食干预组复发率（8.33%）低于非饮食干预组（18.97%），差异具有统计学意义（P<0.05）；草酸钙类结石、碳酸磷灰石类结石在饮食干预组中复发率低于非饮食干预患者（P均<0.05）。结论 不同年龄段、性别输尿管上段结石患者结石主要成分都以草酸钙类成分为主，个体化饮食干预能有效降低此类患者的复发率。 |
| 英文摘要: |
| Objective To analyze the characteristics of calculus components in patients with upper ureteral calculi in different age groups, and to observe the effect of diet prevention on the recurrence of patients. Methods From March 2019 to May 2021, 392 patients with upper ureteral calculi who were admitted to the Second People's Hospital of Liaocheng city, Shandong Province for urological surgery were selected. The stones obtained after operation were detected, and the distribution of the types and components of stones in patients of different ages and sexes was analyzed. According to the follow-up results, the diet intervention patients who strictly implemented the individualized diet recommendations were classified as the diet intervention group(276 cases), and the rest were the non-diet intervention group(116 cases). The recurrence of stones in the two groups was compared, and the distribution of stone components in the two groups was compared. Results There was no significant difference in the proportion of one, two, three and four kinds of stone components among patients of different ages and sexes(P>0.05). The main components of stones in patients of different age groups and gender were mainly calcium oxalate, and the difference between the main components of stones in patients of different sexes was statistically significant(P<0.05). The recurrence rate of diet intervention group(8.33%) was lower than that of non-diet intervention group(18.97%), and the difference was statistically significant(P<0.05). The recurrence rate of calcium oxalate stones and carbonate apatite stones in the diet intervention group was lower than that in the non-diet intervention group(P<0.05). Conclusions Calcium oxalate is the main component of stones in patients with upper ureteral calculi of different ages and sexes. Individualized diet intervention can effectively reduce the recurrence rate of such patients. |
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