Liu Dong,Li Kai,Abudusaimi Abudureyimu,et al.Analysis of urinary stone compositions for 66 Uyghur children in Xinjiang[J].Journal of Clinical Pediatric Surgery,,19():1135-1139,1144.[doi:10.3969/j.issn.1671-6353.2020.12.014]
Analysis of urinary stone compositions for 66 Uyghur children in Xinjiang
- Keywords:
- Urinary Calculi/UR; Uygur Nationality; Child
- CLC:
- R691.4;R726.9
- Abstract:
-
Objective To explore the clinical characteristics of pediatric urinary calculus in Xinjiang Uyghur children and analyze the relationship between stone composition with gender,age and location of stone and ultimately to provide clinical rationales for managing urinary stone.Methods A total of 66 urinary stone samples were collected from children from February 2017 to April 2019.All samples were analyzed by infrared spectroscopy.Their clinical data were also explored.The categories were simple (n=44) and mixed (n=22).Based upon compositions,the types were ammonium hydrogen urate (n=22),calcium oxalate (n=19),calcium oxalate plus carbonate apatite (n=15) and miscellaneous (n=10).Results The average age was (4.52±3.41)(0.25-12) years.There were 53 boys (80.30%) and 13 girls (19.70%) with a gender ratio of 4.08:1.The number of children in 1
vs.25.76%).However,no significant difference existed in the distribution of stone location among different stone compositions.Conclusion Uyghur children with urolithiasis are young and simple stones predominate.With an early onset,urinary stones have diverse compositions for different ages and genders.Etiological explorations are essential for managing pediatric urolithiasis locally.
References:
1 Meiouet F,ElKabbaj S,Daudon M.Pediatric urolithiasis in Morocco:Composition of 432 urinary calculi analyzed by infrared spectroscopy[J].Prog Urol,2019,29(3):173-182.DOI:10.1016/j.purol.2019.02.002.
2 Huang J,Tusong H,Batuer A,et al.High prevalence of pediatric urinary tract stones in Xinjiang Uyghur[J].Urolithiasis,2019,47(3):265-272.DOI:10.1007/s00240-018-1074-6.
3 Wumaner A,Keremu A,Wumaier D,et al.High incidence of urinary stones in Uyghur children may be related to local environmental factors[J].J Pediatr Urol,2014,10(2):289-293.DOI:10.1016/j.jpurol.2013.09.002.
4 McLean R,Cameron C,Butcher E,et al.Comparison of 24-hour urine and 24-hour diet recall for estimating dietary sodium intake in populations:A systematic review and meta-analysis[J].J Clin Hypertens (Greenwich),2019,21(12):1753-1762.DOI:10.1111/jch.13729.
5 Katarzyna J,Magda R,Aleksandra P.Urolithiasis in pedaitric population-current opinion on epidemiology,patophysiology,diagnostic eveluation and treatment[J].Dev period Med,2018,22(2):201-208.
6 Vijayabhaskar RG,Vedamurthy RP,Surya PV,et al.Metabolic evaluation of children with urolithiasis[J].Urol Ann,2018,10(1):94-99.DOI:10.4103/UA.UA_98_17.
7 Rizvi SA,Sultan S,Zafar MN,et al.Paediatric urolithiasis in emerging economies[J].Int J Surg,2016,36(Pt D):705-712.DOI:10.1016/j.ijsu.2016.11.085.
8 Imran K,Zafar MN,Fatima N,et al.Chemical Composition Of Stones In Paediatric Urolithiasis[J].J Ayub Med Coll Abbottabad,2017,29(4):630-634.
9 Saritha R,Ari PB,Beth AD.Diagnosis and management of non-calcium-containing stones in the pedaitric population[J].Int Urol Nephrol,2018,50(7):1191-1198.DOI:10.1007/s11255-018-1883-0.
10 Soliman NA,Rizvi SAH.Endemic bladder calculi in children[J].Pediatr Nephrol,2017,32(9):1489-1499.DOI:10.1007/s00467-016-3492-4.
11 Kirejczyk JK,Porowski T,Filonowicz R,et al.An association between kidney stone composition and urinary metabolic disturbances in children[J].J Pediatr Urol,2014,10(1):130-135.DOI:10.1016/j.jpurol.2013.07.010.
12 Liu Y,Yasheng A,Chen K,et al.Difference in urinary stone composition between Uyghur and Han children with urolithiasis[J].Urolithiasis,2017,45(5):435-440.DOI:10.1007/s00240-016-0931-4.
13 黄健,阿布都卡哈尔·巴吐尔,哈木拉提·吐送,等.993例维吾尔族小儿尿路结石临床分析[J].临床泌尿外科杂志,2018,33(7):563-566,570.DOI:10.13201/j.issn.1001-1420.2018.07.013. Huang J,Abudukahaer B,Hamulati T,et al.Clinical characteristics of 993 Uyghur pediatric patients with urolithiasis[J].J Clin Urology,2018,33(7):563-566,570.DOI:10.13201/j.issn.1001-1420.2018.07.013.
14 Otto BJ,Bozorgmehri S,Kuo J,et al.Age,Body Mass Index,and Gender Predict 24-Hour Urine Parameters in Recurrent Idiopathic Calcium Oxalate Stone Formers[J].J Endourol,2017,31(12):1335-1341.DOI:10.1089/end.2017.0352.
15 Bauza JL,Pieras EC,Grases F,et al.Urinary tract infe-ction’s etiopathogenic role in nephrolithiasis formation[J].Med Hypotheses,2018,118:34-35.DOI:10.1016/j.mehy.2018.06.002.
16 沈开慧,马丽娜,吴登艳,等.儿童泌尿系统结石临床特点的meta分析[J].中国医师杂志,2019,21(9):1339-1344,1348.DOI:10.3760/cma.j.issn.1008-1372.2019.09.013. Shen KH,Ma LN,Wu DY,et al.Meta analysis of clinical characteristics of urinary calculi in children[J].Journal of Chinese Physician,2019,21(9):1339-1344,1348.DOI:10.3760/cma.j.issn.1008-1372.2019.09.013.
17 石博文,徐科,黄云腾.经皮肾镜取石术在儿童肾结石中的应用及进展[J].临床小儿外科杂志,2017,16(6):617-621.DOI:10.3969/j.issn.1671-6353.2017.06.021. Shi WB,Xu K,Huang YT.Application and progress in percutaneous nephrolithotomy for pediatric kidney stones[J].J Clin Ped Surg,2017,16(6):617-621.DOI:10.3969/j.issn.1671-6353.2017.06.021.
18 Wang HC,Liu C,He HY,et al.A case-control study on the risk factors of urinary calculus in Uyghur children in the Kashi region[J].Genet Mol Res,2015,14(2):5862-5869.DOI:10.4238/2015.June.1.3.
19 阿不都力艾则孜·哈力甫,艾尼瓦尔·阿不都卡德尔,郭全斌,等.306例和田地区维吾尔族小儿泌尿系结石成分分析[J].西北国防医学杂志,2019,40(2):88-92.DOI:10.16021/j.cnki.1007-8622.2019.02.005. Abuduliaizezi H,Aniwaer A,Guo QB,et al.Analysis of urinary stone composition of 306 Uygur children in Hotan region[J].Med J NDFNC,2019,40(2):88-92.DOI:10.16021/j.cnki.1007-8622.2019.02.005.
20 Marra G,Taroni F,Berrettini A,et al.Pediatric nephrolithiasis:a systematic approach from diagnosis to treatment[J].J Nephrol,2019,32(2):199-210.DOI:10.1007/s40620-018-0487-1.
21 ílknur G,Sel?uk Y,Kadriye K,et al.Evaluation of the composition of urinary tract stones in children from the Inner Western Anatolian Region in Turkey[J].Turk J Urol,2020,46(2):152-158. DOI:10.5152/tud.2019.19170.
Memo
收稿日期:2020-06-08。
基金项目:新疆维吾尔自治区自然科学基金资助项目（编号：2016D01C109）
通讯作者:李水学,Email:Lishuixue@sina.com