Costa-Bauzá Antonia, Ramis Margarita, Montesinos Vicente, Grases Felix, Conte Antonio, Pizá Pedro, Pieras Enrique, Grases Felix
Laboratory of Renal Lithiasis Research, Faculty of Sciences, Universitary Institute of Health Sciences Research (IUNICS), University of Balearic Islands, 07122 Palma de Mallorca, Spain.
World J Urol. 2007 Aug;25(4):415-21. doi: 10.1007/s00345-007-0177-4. Epub 2007 May 25.
The aim of this paper is to study the variations in the percentage of the different types of renal stones with age and sex. Renal calculi were classified according to their composition and structure. Stone formers were divided according to age and sex, and the percentage of each kind of calculi in the different considered age periods for men and women were determined. It was found that calcium oxalate dihydrate calculi decreased with age, but only in men. These calculi were also clearly predominant in men. Hydroxyapatite calculi decreased with age in both men and women, but they were predominant in women. Uric acid calculi increased with age in both men and women, but were predominant in men. Finally, it was found that calcium oxalate monohydrate unattached calculi increased with age in both men and women. As a main novelty, the study here presented demonstrates the importance of distinguishing between calcium oxalate monohydrate papillary stones and calcium oxalate monohydrate unattached stones, since the etiologic factors responsible for their origin must be clearly different.
本文旨在研究不同类型肾结石的百分比随年龄和性别的变化。肾结石根据其成分和结构进行分类。结石形成者按年龄和性别划分,并确定了不同年龄段男性和女性中各类结石的百分比。结果发现,二水草酸钙结石随年龄增长而减少,但仅在男性中如此。这些结石在男性中也明显占主导地位。羟基磷灰石结石在男性和女性中均随年龄增长而减少,但在女性中占主导地位。尿酸结石在男性和女性中均随年龄增长而增加,但在男性中占主导地位。最后,发现一水草酸钙游离结石在男性和女性中均随年龄增长而增加。作为主要的新发现,本文所呈现的研究表明区分一水草酸钙乳头结石和一水草酸钙游离结石的重要性,因为导致它们形成的病因因素必定明显不同。