Analysis of pediatric urinary stone composition among Uygur children in Hetian MA Jing,

doi:10.3969/j.issn.1673-8640.2020.04.012

Abstract

Abstract:

Objective To study pediatric urinary stone composition among Uygur children in Hetian,and to provide a reference for the treatment of pediatric urinary stone and the prevention of recurrence. Methodse A total of 203 cases of pediatric urinary stones from Uygur children in Hetian were collected,and the composition was analyzed by infrared spectroscopy. Results Among the 203 cases,144 cases were from males（70.94%）,and 59 cases were from females（29.06%）. The peak age of onset was preschool period,accounting for 51.72%. Totally,123 cases came from kidney（60.59%）,37 cases came from ureter（18.23%）,33 cases came from bladder（16.26%）,and 10 cases came from urethra（4.93%）. Among 39 cases（19.21%） of single component,calcium oxalate monohydrate was the main component,accounting for 48.72%（19 cases）,followed by ammonium urate accounting for 35.90%（14 cases）. There was no statistical significance in the composition of single component between males and females（χ²=3.186,P>0.05）. For mixed components,calcium oxalate dihydrate and ammonium urate were the main components,accounting for 34.15%（56 cases）,followed by calcium oxalate monohydrate and calcium oxalate dihydrate,accounting for 16.46%（27 cases）. There was statistical significance in the composition of mixed components between males and females（χ²=53.081,P<0.01）. Conclusions Calcium oxalate is the main kind of pediatric urinary stone composition among Uygur children in Hetian,and the difference exists between different ages and sex.

Key words: Urinary stone, Children, Hetian

CLC Number:

R446.1

WANG Changmin, HUANG Guohong, XIA Zhigang, LI Shuai, LIU Hong. Analysis of pediatric urinary stone composition among Uygur children in Hetian MA Jing,[J]. Laboratory Medicine, 2020, 35(4): 338-341.

Figures/Tables 2

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结石成分	男童/例	女童/例	合计/例（%）
一水草酸钙	13	6	19（48.72）
尿酸铵	10	4	14（35.90）
一水尿酸钠	2	1	3（7.70）
无水尿酸	1	0	1（2.56）
L-胱氨酸	0	1	1（2.56）
二水草酸钙	1	0	1（2.56）
合计	27	12	39（100.00）

结石成分	男童/例	女童/例	合计/例（%）
一水草酸钙	13	6	19（48.72）
尿酸铵	10	4	14（35.90）
一水尿酸钠	2	1	3（7.70）
无水尿酸	1	0	1（2.56）
L-胱氨酸	0	1	1（2.56）
二水草酸钙	1	0	1（2.56）
合计	27	12	39（100.00）

结石成分	男童/例	女童/例	合计/例（%）
二水草酸钙+尿酸铵	46	10	56（34.15）
二水草酸钙+尿酸铵+少量二水磷酸氢钙	0	1	1（0.61）
二水草酸钙+尿酸铵+少量碳酸磷灰石	2	2	4（2.44）
二水草酸钙+尿酸铵+少量一水草酸钙	14	9	23（14.02）
结石成分	男童/例	女童/例	合计/例（%）
二水草酸钙+无水尿酸+少量一水草酸钙	1	1	2（1.22）
二水草酸钙+一水草酸钙	3	2	5（3.05）
二水草酸钙+一水草酸钙+少量碳酸磷灰石	0	1	1（0.61）
二水草酸钙+一水草酸钙+无水尿酸	0	1	1（0.61）
磷酸铵镁+尿酸铵	1	0	1（0.61）
尿酸铵+二水草酸钙	1	0	1（0.61）
尿酸铵+无水磷酸+少量一水草酸钙	1	0	1（0.61）
尿酸铵+无水尿酸+少量一水草酸钙	1	0	1（0.61）
尿酸铵+一水草酸钙	13	3	16（9.75）
尿酸铵+一水尿酸钠	2	0	2（1.22）
尿酸铵+一水尿酸钠+少量二水草酸钙	1	0	1（0.61）
羟基磷灰石+一水草酸钙+二水草酸钙	0	1	1（0.61）
碳酸磷灰石+L-胱氨酸	0	1	1（0.61）
碳酸磷灰石+尿酸铵	1	0	1（0.61）
碳酸磷灰石+一水草酸钙	4	1	5（3.05）
碳酸磷灰石+一水草酸钙+二水草酸钙	1	0	1（0.61）
碳酸磷灰石+一水草酸钙+少量羟基磷灰石	1	0	1（0.61）
无水尿酸+尿酸铵	1	0	1（0.61）
无水尿酸+尿酸铵+少量一水草酸钙	1	1	2（1.22）
无水尿酸+一水草酸钙	1	0	1（0.61）
一水草酸钙+二水草酸钙	17	10	27（16.46）
一水草酸钙+碳酸磷灰石	1	2	3（1.83）
一水草酸钙+一水尿酸钠+少量二水草酸钙	1	0	1（0.61）
一水草酸钙+尿酸铵	1	0	1（0.61）
一水尿酸钠+一水草酸钙	1	1	2（1.22）
合计	117	47	164（100.00）

结石成分	男童/例	女童/例	合计/例（%）
二水草酸钙+尿酸铵	46	10	56（34.15）
二水草酸钙+尿酸铵+少量二水磷酸氢钙	0	1	1（0.61）
二水草酸钙+尿酸铵+少量碳酸磷灰石	2	2	4（2.44）
二水草酸钙+尿酸铵+少量一水草酸钙	14	9	23（14.02）
结石成分	男童/例	女童/例	合计/例（%）
二水草酸钙+无水尿酸+少量一水草酸钙	1	1	2（1.22）
二水草酸钙+一水草酸钙	3	2	5（3.05）
二水草酸钙+一水草酸钙+少量碳酸磷灰石	0	1	1（0.61）
二水草酸钙+一水草酸钙+无水尿酸	0	1	1（0.61）
磷酸铵镁+尿酸铵	1	0	1（0.61）
尿酸铵+二水草酸钙	1	0	1（0.61）
尿酸铵+无水磷酸+少量一水草酸钙	1	0	1（0.61）
尿酸铵+无水尿酸+少量一水草酸钙	1	0	1（0.61）
尿酸铵+一水草酸钙	13	3	16（9.75）
尿酸铵+一水尿酸钠	2	0	2（1.22）
尿酸铵+一水尿酸钠+少量二水草酸钙	1	0	1（0.61）
羟基磷灰石+一水草酸钙+二水草酸钙	0	1	1（0.61）
碳酸磷灰石+L-胱氨酸	0	1	1（0.61）
碳酸磷灰石+尿酸铵	1	0	1（0.61）
碳酸磷灰石+一水草酸钙	4	1	5（3.05）
碳酸磷灰石+一水草酸钙+二水草酸钙	1	0	1（0.61）
碳酸磷灰石+一水草酸钙+少量羟基磷灰石	1	0	1（0.61）
无水尿酸+尿酸铵	1	0	1（0.61）
无水尿酸+尿酸铵+少量一水草酸钙	1	1	2（1.22）
无水尿酸+一水草酸钙	1	0	1（0.61）
一水草酸钙+二水草酸钙	17	10	27（16.46）
一水草酸钙+碳酸磷灰石	1	2	3（1.83）
一水草酸钙+一水尿酸钠+少量二水草酸钙	1	0	1（0.61）
一水草酸钙+尿酸铵	1	0	1（0.61）
一水尿酸钠+一水草酸钙	1	1	2（1.22）
合计	117	47	164（100.00）

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