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題名 | Crystalline Composition of Urinary Stones in Tao-Yuan=桃園地區尿路結石之結晶成份分析 |
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作者 | 謝德生; 陳淳; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 18:1 1985.03[民74.03] |
頁次 | 頁49-55 |
分類號 | 415.842 |
關鍵詞 | 桃園地區; 尿路結石; 結晶成份; |
語文 | 英文(English) |
中文摘要 | 作者於民國69年至民國71年於省立桃國醫院工作期間,經由手術及門診部所得之153例尿路結石標本,利用偏光顯微鏡分析各結石之成分,所有病例年齡最小者為9歲,最大者為91歲,最常發病之年齡為20歲至59歲之青壯年期,共佔81%。 分析結果顯示本地區之尿石最常出現之結晶成分為顆粒性單水草酸鈣、磷灰石、雙水草酸鈣及放射性單水草酸鈣,其餘成份寫磷酸氨鎂、酸性磷酸鈣、尿酸及酸性尿酸氨。單一結石成分者佔所有標本之18%,95%之輸尿管結石含草酸鈣,尿酸及尿酸塩較常見於腎臟及膀胱,磷酸氨鎂較少於尿道或輸尿管結石中出現。 作者分析本地區泌尿系統不同部位結石之各種成分,並與其他文獻報告比較,發現較突出者為本地區Jensen第一型結石發生率高速75%,此型結石一般與遺傳、體質及飲食習慣等關係密切,而且再發率較高,手術僅為治療之開始,病人應進一步做血液及尿液之檢查,以確定尿石之成因,並長期追踪治療,以期能減少尿石再發。 |
英文摘要 | While working in provincial Tao-Yuan Hospital between August, 1980 and July, 1982, there were 153 cases of urinary stones operatively removed or spontaneously discharged. All the stones were analyzed with polarizing microscope. The youngest patient was 9 year-old and the oldest was 91 year-old. The most common components of stones in Tao-Yuan area are granular whewellite, apatite, weddellite and radiant whewellite. Single component stones compose 18% of all specimens. 95% of ureteral stones contain calcium oxalate. Uric acid/urate stones appear more in the kidney and bladder. Struvite is rare in urethral or ureteral stones. In this report, the authors discuss the distribution of stones constituents in different locations of urinary tract and compare with the results in other literatures. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。