雲林地區尿路結石患者女性尿酸結石的盛行率遠低於男性
林宗彥、 劉展榮、鄭裕生、陳奕宏、林永明
國立成功大學附設醫院斗六分院泌尿科、國立成功大學附設醫院泌尿部
Prevalence of uric acid stone in female patients with urolithiasis is much lower than male patients in Yun-Lin
Tsung-Yen Lina、Chan-Jung Liub、Yu-Sheng Chengb、I-Hung Chenga、Yung-Ming Linb
aDivision of Urology, Department of Surgery, National Cheng Kung University Hospital Dou-Liou Branch, bDepartment of Urology, Medical College and Hospital, National Cheng-Kung University, Tainan, Taiwan
Abstract
Purpose: Urolithiasis is the third most common disease in genitourinary tract. The prevalence of different stone composition is still an interesting topic because it varies largely in different gender, ethnicity, and country. To known the prevalence of different stone composition can help us find out possible pathogenesis and prevent recurrent urolithiasis. In this study, we want to know the prevalence of different stone composition in Yunlin, Twian.
Materials and Methods: From 2014 to 2017, 233 patients who received management of urolithiasis in Dou-Liou Branch, National Cheng-Kung University Hospital were included. Their urinary stone samples were collected and sent for stone analysis. We compared prevalence of different stone composition between different genders using Chi-Square test.
Results: The overall male to female ratio was 3.16. Highest prevalence of stone composition was mixed components of calcium phosphate and calcium oxalate which was up to 81.55%. Second common form of stones was uric acid which accounted for 9%, followed by calcium oxalate (6%), calcium phosphate (2.15%), and struvite (1.29%). The prevalence of uric acid stone in male patients (11.30%) was significant higher compared to female patients (1.79%)
Conclusions: In Yun-Lin, most common form of urinary stone is mixed components of calcium phosphate and calcium oxalate which is the same as other literature. The second common form of stone is uric acid which prevalence is 9% in all patients. The prevalence of uric acid stone in female patients which is 1.79% is much lower than male patients.