The status and characteristics of urinary stone composition in China

被引：63

作者：

Ye, Zhangqun ^{[1
,2
]}

Zeng, Guohua ^{[3
]}

Yang, Huan ^{[1
,2
]}

Li, Jianxin ^{[4
]}

Tang, Kun ^{[1
,2
]}

Wang, Guomin ^{[5
]}

Wang, Shusheng ^{[6
]}

Yu, Yonggang ^{[7
]}

Wang, Yujie ^{[8
]}

Zhang, Tao ^{[9
]}

Long, Yongfu ^{[10
]}

Li, Weibin ^{[11
]}

Wang, Changmin ^{[12
]}

Wang, Wei ^{[13
]}

Gao, Sihe ^{[14
]}

Shan, Yuxi ^{[15
]}

Huang, Xiaobo ^{[16
]}

Bai, Zhiming ^{[17
]}

Lin, Xiaohan ^{[18
]}

Cheng, Yue ^{[19
]}

Wang, Qinzhang ^{[20
]}

Xu, Zhuoqun ^{[21
]}

Xie, Liping ^{[22
]}

Yuan, Jianlin ^{[23
]}

Ren, Shengqiang ^{[24
]}

Fan, Yuhui ^{[25
]}

Pan, Tiejun ^{[26
]}

Wang, Jing ^{[27
]}

Li, Xun ^{[28
]}

Chen, Xuehua ^{[29
]}

Gu, Xiaojian ^{[29
]}

Sun, Zhaolin ^{[30
]}

Xiao, Kefeng ^{[31
]}

Jia, Jianye ^{[32
]}

Zhang, Qinghua ^{[33
]}

Wang, Gongxian ^{[34
]}

Sun, Ting ^{[34
]}

Li, Xuedong ^{[35
]}

Xu, Changbao ^{[36
]}

Xu, Chuangliang ^{[37
]}

Shi, Guowei ^{[38
]}

He, Jiayang ^{[38
]}

Song, Leming ^{[39
]}

Sun, Guang ^{[40
]}

Wang, Dongwen ^{[41
]}

Liu, Yili ^{[42
]}

Wang, Chunxi ^{[43
]}

Han, Yi ^{[44
]}

Liang, Peiyu ^{[45
]}

Wang, Zhiping ^{[46
]}

机构：

[1] Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Sch, Dept Urol, 1095 JieFang Ave, Wuhan 430030, Peoples R China

[2] Hubei Inst Urol, Wuhan, Peoples R China

[3] Guangzhou Med Univ, Dept Urol, Minimally Invas Surg Ctr, Affiliated Hosp 1, Guangzhou, Peoples R China

[4] Beijing Tsinghua Changgung Hosp, Dept Urol, Beijing, Peoples R China

[5] Fudan Univ, Zhongshan Hosp, Dept Urol, Shanghai Med Coll, Shanghai, Peoples R China

[6] GuangDong Prov Hosp Tradit Chinese Med, Dept Urol, Guangzhou, Peoples R China

[7] Peoples Liberat Army, Dept Urol, Hosp 181, Guilin, Peoples R China

[8] Xinjiang Med Univ, Dept Urol, Affiliated Hosp 1, Urumqi, Peoples R China

[9] Peoples Liberat Army, Dept Urol, Hosp 5, Yinchuan, Ningxia, Peoples R China

[10] Shaoyang Cent Hosp, Dept Urol, Shaoyang, Peoples R China

[11] Chongqing Med Univ, Affiliated Hosp 3, Dept Urol, Chongqing, Peoples R China

[12] Peoples Hosp Xinjiang Autonomous Reg, Dept Lab, Urumqi, Peoples R China

[13] Capital Med Univ, Beijing Tongren Hosp, Dept Urol, Beijing, Peoples R China

[14] Gaomi City Hosp Tradit Chinese Med, Dept Urol, Gaomi, Peoples R China

[15] Suzhou Univ, Med Sch, Hosp 2, Dept Urol, Suzhou, Peoples R China

[16] Peking Univ, Dept Urol, Peoples Hosp, Beijing, Peoples R China

[17] Haikou Peoples Hosp, Dept Urol, Haikou, Hainan, Peoples R China

[18] Second Hosp Xiamen City, Dept Urol, Xiamen, Peoples R China

[19] Ningbo Univ, Peoples Hosp Ningbo City 1, Dept Urol, Med Sch, Ningbo, Peoples R China

[20] Shihezi Univ, Dept Urol, Affiliated Hosp 1, Med Sch, Shihezi, Peoples R China

[21] Nanjing Med Univ, Dept Urol, Wuxi Peoples Hosp, Wuxi, Jiangsu, Peoples R China

[22] Zhejiang Univ, Dept Urol, Affiliated Hosp 1, Med Sch, Hangzhou, Peoples R China

[23] Fourth Mil Med Univ, Dept Urol, Xijing Hosp, Xian, Peoples R China

[24] Peoples Liberat Army, Hosp 113, Dept Urol, Ningbo, Peoples R China

[25] Xian Gaoxin Hosp, Dept Urol, Xian, Peoples R China

[26] Wuhan Gen Hosp Guangzhou Mil Reg, Dept Urol, Wuhan, Peoples R China

[27] First Peoples Hosp Changshu City, Dept Urol, Changshu, Jiangsu, Peoples R China

[28] Guangzhou Med Univ, Dept Urol, Affiliated Hosp 5, Guangzhou, Peoples R China

[29] Jiangsu Prov Hosp Tradit Chinese Med, Dept Urol, Nanjing, Peoples R China

[30] Peoples Hosp Guizhou Prov, Dept Urol, Guiyang, Peoples R China

[31] Peoples Hosp Shenzhen City, Dept Urol, Shenzhen, Peoples R China

[32] Shanghai Jiao Tong Univ, Xinhua Hosp, Dept Urol, Sch Med, Shanghai, Peoples R China

[33] Taizhou Municipal Hosp, Dept Urol, Taizhou, Peoples R China

[34] Nanchang Univ, Dept Urol, Affiliated Hosp 1, Nanchang, Jiangxi, Peoples R China

[35] Harbin Med Univ, Dept Urol, Affiliated Hosp 2, Harbin, Peoples R China

[36] Zhengzhou Univ, Dept Urol, Affiliated Hosp 2, Med Sch, Zhengzhou, Peoples R China

[37] Second Mil Med Univ, Changhai Hosp, Dept Urol, Shanghai, Peoples R China

[38] Fifth Peoples Hosp Shanghai City, Dept Urol, Shanghai, Peoples R China

[39] Ganzhou Peoples Hosp, Dept Urol, Ganzhou, Peoples R China

[40] Tianjin Med Univ, Dept Urol, Affiliated Hosp 2, Tianjin, Peoples R China

[41] Shanxi Med Univ, Dept Urol, Affiliated Hosp 1, Taiyuan, Peoples R China

[42] China Med Univ, Dept Urol, Affiliated Hosp 4, Shenyang, Peoples R China

[43] First Hosp Jilin Univ, Dept Urol, Changchun, Peoples R China

[44] Shenyang Red Cross Hosp, Dept Urol, Shenyang, Peoples R China

[45] Hainan Med Coll, Dept Urol, Affiliated Hosp, Haikou, Hainan, Peoples R China

[46] Lanzhou Univ, Dept Urol, Hosp 2, Med Sch, Lanzhou, Peoples R China

[47] Xiamen Univ, Dept Urol, Affiliated Hosp 1, 55 Zhenhai Rd, Xiamen 361003, Peoples R China

来源：

BJU INTERNATIONAL | 2020年 / 125卷 / 06期

关键词：

stone composition; gender; age; geographic region; body mass index; #UroStone; KIDNEY-STONES; METABOLIC SYNDROME; BLADDER LITHIASIS; PREVALENCE; AGE; NEPHROLITHIASIS; UROLITHIASIS; ASSOCIATION; PREVENTION; MANAGEMENT;

D O I：

10.1111/bju.14765

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Objectives To explore characteristics of urinary stone composition in China, and determine the effects of gender, age, body mass index (BMI), stone location, and geographical region on stone composition. Patients and methods We prospectively used Fourier-transform infrared spectroscopy to analyse stones from consecutive patients presenting with new-onset urolithiasis at 46 hospitals in seven geographical areas of China, between 1 June 2010 and 31 May 2015. Chi-squared tests and logistic regression analyses were used to determine associations between stone composition and gender, age,BMI, stone location, and geographical region. Results The most common stone constituents were: calcium oxalate (CaOx; 65.9%), carbapatite (15.6%), urate (12.4%), struvite (2.7%), and brushite (1.7%). CaOx and urate stones occurred more frequently in males, whereas carbapatite and struvite were more common in females (P < 0.01). CaOx and carbapatite were more common in those aged 30-50 and 20-40 years than in other groups. Brushite and struvite were most common amongst those aged 70 years. The detection rate of urate increased with age, whilst cystine decreased with age. Obese patients were more likely to have urate stones than carbapatite or brushite stones (P < 0.01). CaOx, carbapatite, brushite, and cystine stones were more frequently found in the kidney than other types, whereas urate and struvite were more frequent in the bladder (P < 0.01). Stone composition varied by geographical region. Conclusions The most common stone composition was CaOx, followed by carbapatite, urate, struvite, and brushite. Stone composition differed significantly in patients grouped by gender, age,BMI, stone location, and geographical region.

引用

页码：801 / 809

页数：9

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