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300例下尿路结石的化学成分及相关泌尿系统疾病

Chemical compositions of 300 lower urinary tract calculi and associated disorders in the urinary tract.

作者信息

Takasaki E, Suzuki T, Honda M, Imai T, Maeda S, Hosoya Y

机构信息

Department of Urology, Dokkyo University School of Medicine, Tochigi, Japan.

出版信息

Urol Int. 1995;54(2):89-94. doi: 10.1159/000282696.

DOI:10.1159/000282696
PMID:7538235
Abstract

The stones removed from 273 patients (220 males, 53 females) with bladder stones and 27 patients with urethral stones (males) were analyzed by infrared spectroscopy. Of these stones 50.0% contained magnesium ammonium phosphate (MAP), 39.9% calcium (oxalate and/or phosphate), 9.4% uric acid (urate), and 0.7% cystine. The disorders associated with bladder stones were prostatic hyperplasia and cancer (47.8%), neurogenic bladder (11.8%), urethral stricture (3.6%) and so on in males, and neurogenic bladder (48.1%), after operation of uterus (29.0%), bladder cancer (5.7%) and so on in females. Urinary infections were complications in 59.3% of patients with MAP stones, 41.2% with urate stones and 20.0% with calcium stones. The most often isolated bacteria from the infected urine were of the Proteus species.

摘要

对273例膀胱结石患者(220例男性,53例女性)和27例尿道结石患者(男性)取出的结石进行了红外光谱分析。这些结石中,50.0%含有磷酸镁铵(MAP),39.9%含有钙(草酸盐和/或磷酸盐),9.4%含有尿酸(尿酸盐),0.7%含有胱氨酸。男性与膀胱结石相关的疾病有前列腺增生和癌症(47.8%)、神经源性膀胱(11.8%)、尿道狭窄(3.6%)等,女性有神经源性膀胱(48.1%)、子宫手术后(29.0%)、膀胱癌(5.7%)等。59.3%的MAP结石患者、41.2%的尿酸盐结石患者和20.0%的钙结石患者出现尿路感染并发症。感染尿液中最常分离出的细菌是变形杆菌属。

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