Kanamaru H, Sasaki M, Ohshiro K, Komatz Y
Hinyokika Kiyo. 1985 Jun;31(6):915-20.
Stone analysis was performed for 216 urinary calculi which were obtained from 205 patients in our hospital from January, 1980 to June, 1984. The results revealed 161 calcium stones, 21 uric acid stones, 19 struvite stones, 2 cystine stones and 13 others. Sixty one of the 205 patients (male 44, female 17) and 19 controls (male 11, female 8) were investigated for 24-hour urine calcium and uric acid. Forty seven of the patients had calcium stones, 7 of the patients had uric acid stones and 7 of the patients had struvite stones. The mean 24-hour urine calcium level was 146.8 +/- 76.5 mg/day for the male controls and 139.1 +/- 69.9 mg/day for the female controls. The mean 24-hour urine uric acid level was 528.1 +/- 132.6 mg/day for the male controls and 362.0 +/- 135.2 mg/day for the female controls. The mean 24-hour urine calcium level for the male calcium-stone group was 214.6 +/- 96.8 mg/day, and it was significantly higher than that for the male controls (p less than 0.05). The 24-hour urine analysis revealed abnormalities in 17 urolithiasis patients (27.9%) including hypercalciuria in 11 patients (18.0%) and hyperuricosuria in 9 patients (14.1%).
对1980年1月至1984年6月期间我院205例患者的216枚尿结石进行了结石分析。结果显示，有161枚钙结石、21枚尿酸结石、19枚磷酸铵镁结石、2枚胱氨酸结石及13枚其他类型结石。对205例患者中的61例（男性44例，女性17例）及19例对照者（男性11例，女性8例）进行了24小时尿钙和尿酸检测。47例患者有钙结石，7例患者有尿酸结石，7例患者有磷酸铵镁结石。男性对照者24小时尿钙平均水平为146.8±76.5mg/天，女性对照者为139.1±69.9mg/天。男性对照者24小时尿酸平均水平为528.1±132.6mg/天，女性对照者为362.0±135.2mg/天。男性钙结石组24小时尿钙平均水平为214.6±96.8mg/天，显著高于男性对照者（p<0.05）。24小时尿液分析显示17例尿路结石患者（27.9%）存在异常，包括11例患者（18.0%）高钙尿症和9例患者（14.1%）高尿酸尿症。
