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Urinary lithiasis: epidemiology and classification of urinary calculus

机译:尿路结石:尿路结石的流行病学和分类

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The incidence of renal calculus in Spain has been increased in recent years. In this work, an epidemiological approach of urinary lithiasis has been made, establishing a classification of the urinary calculi analyzed during a year. A database has been created with the analyzed calculi by Fourier Transform Infrared Spectroscopy, collecting age, sex, recurrences and biochemical parameters obtained from 24-hour urine. The influence of sex on urinary lithiasis is very marked and the number of stones in the male in much higher. In addition, the age factor increases lithiasis from 5% at 30 years of age to 25% at 60 years of age. These data refer to the total calculi, without differentiating their chemical composition. If differentiation is made according to the composition, a similar tendency is found in men and women in the monohydrate calcium oxalate calculi, but very different in those of dihydrate calcium oxalate and calcium phosphocarbonate. The incidence in children under 20 years of age is very low; males have more calculi in the first decade of life and girls in the second decade of life. In addition, a higher prevalence of stones has been observed in the summer months associated with higher serum levels of vitamin D. Thus, it is essential to stablish classification criteria of urinary calculi for epidemiological studies. In recent years, the ratio of the different compositions has changed, resulting in an increase of oxalate calculi.
机译:近年来,西班牙的肾结石发病率有所增加。在这项工作中,已经制定了尿石结石的流行病学方法,建立了一年中分析的尿结石的分类。已经通过傅立叶变换红外光谱法建立了具有分析的结石的数据库,收集了从24小时尿液中获得的年龄,性别,复发率和生化参数。性别对尿路结石的影响非常明显,男性结石的数目要高得多。此外,年龄因素使石尿症从30岁时的5%增加到60岁时的25%。这些数据是指总结石,没有区别其化学成分。如果根据组成进行区分,则在一水合物草酸钙结石中男女发现相似的趋势,但在二水合物草酸钙和碳酸钙中差异很大。 20岁以下儿童的发病率很低;男性在生命的前十年有更多的结石,女孩在生命的后十年有更多的结石。另外,在夏季,与较高的维生素D血清水平相关的结石患病率也较高。因此,对于流行病学研究来说,稳定尿结石的分类标准至关重要。近年来,不同组成的比例已经改变,导致草酸盐结石增加。

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