The Analysis Of 120 Cases Of Renal Staghorn Calculi Composition In Shanxi Area And Its Clinical Significance

Objective:Through the composition analysis of Shanxi region of Renal staghorn calculi,explore shanxi region renal staghorn calculi composition characteristics to provide the basis for prevention and treatment of the local region renal staghorn calculi.Methods:Collection of Chinese people’s Liberation Army 264 hospital urology diagnosis for renal staghorn calculis of inpatients and outpatients in 68 cases from January,2014 to February,2016.through the percutaneous nephrolithotomy lithotripsy,retrograde ureteroscope holmium laser lithotripsy, nephrectomy, extracorporeal shock wave lithotripsy stones were acquired.Adopt infrared automatic spectrophotometry(Tianjin blue and German scientific instrument production, signal is LIIR-20) analysising the composition of Renal staghorn calculi. At the same time, will collect each fresh stone samples take part with pure water purification after crush into the end and bacterial culture. Combination between January 2012- December 2013 in the people’s liberation army 264 hospital uropoiesis surgical department who underwent surgical treatment of 52 patients with renal staghorn calculis component analysis results and general data for retrospective analysis.Results:The group of 120 cases of renal staghorn calculi in, 82 cases of male, 38 cases of female, male to female ratio 2.2:1.male with an average age of 25.8and 50.4 years old,female and average age of 26.2 and 52.2.The partial staghorn calculi in 98 cases, 22 cases of complete of deer form kidney stones, the ratio of 4.5:1. 72 cases were in the left,right 44 cases, bilateral in 4 cases. The chemical composition of urinary stones are calcium oxalate monohydrate, six water carbonate apatite, calcium oxalate dihydrate,hexahydrate magnesium ammonium phosphate, dicalcium phosphate dihydrate and anhydrous uric acid six, no cystine stones. Stones containing calcium oxalate monohydrate 101 cases, 33 cases of calcium oxalate dihydrate, 86 cases of six water carbonate apatite, hexahydrate magnesium ammonium phosphate stones in 36 cases, 11 cases of dicalcium phosphate dihydrate, anhydrous uric acid in 8 cases.single component stone is pure stones in 23 cases, among them 17 cases of calcium oxalate monohydrate, 3cases of anhydrous uric acid calculi, 2 cases of six water magnesium ammonium phosphate stones, 1 cases of six water carbonate apatite stones, no calcium oxalate dihydrate, two water calcium phosphate. A total of 97 cases of mixed stones, ccalcium oxalate monohydrate andsix water carbonate apatite is common in males, calcium oxalate monohydrate and ammonium magnesium phosphate is common in women.partial staghorn calculi mainly to calcium oxalate monohydrate and carbonate apatite, complete staghorn calculi with calcium oxalate ammonium magnesium phosphate and carbonate apatite stones. Bacterial culture, complete staghorn renal calculi patients with 18 positive cases, 4 cases were negative That part of the staghorn calculi of 27 cases were positive,71 cases were negative, women were positive in 21 cases, 17 cases were negative, 24 cases were male, 58 cases were negative,Stone bacterial culture positive stones,Escherichia coli were the main bacteria, including calcium oxalate monohydrate in 31 cases, containing hexahydrate magnesium ammonium phosphate in 26 cases, 27 patients with six water carbonate apatite containing, containing calcium oxalate dihydrate in 7cases, containing two water calcium hydrophosphate in 3 cases; stone bacterial culture negative stone, including 70 cases of calcium oxalate monohydrate, containing ammonium magnesium phosphate hexahydrate 10 cases, containing six water carbonate apatite 59 cases, containing two water calcium oxalate in 26 cases, containing two water calcium hydrophosphate in 3 cases; anhydrous uric acid in 8 cases.Conclusion:1.Shanxi area of staghorn calculi is more common in men, good hair age is 30 to 50 years, partial staghorn calculi are common.2.The main components of stones are calcium oxalate monohydrate, carbonate apatite, six magnesium ammonium phosphate water, two water calcium oxalate, calcium hydrogen phosphate and uric acid stones, no cystine acid stones. Stones with mixed stones, calcium oxalate monohydrate and carbonate apatite common in men, calcium oxalate monohydrate and magnesium ammonium phosphate stones were more common in females.the main components of partial staghorn calculi is calcium oxalate monohydrate and carbonate apatite, the main components of complete staghorn calculi is calcium oxalate ammonium,magnesium phosphate and carbonate apatite. The main component of Shanxi area of staghorn calculi is different from and other local in China and foreign reports of staghorn calculi.3.About 30% of calculus bacterial culture positive, good hair in women, completely staghorn calculi, bacteria are Escherichia coli, magnesium ammonium phosphate is the main constituent of urinary tract infection in the one.