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Bölgemizde idrar yolu taşlarının Taş bileşimi

Stone composition of urinary tract stones from our region

Journal Name:

  • Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2012

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objective: To evaluate the spectrum of urinary tract stone compositions in patients managed at one center. Methods: A total of 710 urinary calculi, passed spontaneously or after extracorporeal shock-wave lithotripsy as well as collected by endoscopic or open surgical procedures were analyzed by applying chemical and physicochemical methods primarily used for detecting minerals in our laboratory. Results: The distribution of stone compositions were noted as 454 (64.9%) calcium oxalate; 104 (14.6%) calcium phosphate; 99 (13.9%) struvite; 24 (3.3%) uric acid; 21 (2.9%) mixed; 5 (0.7%) cystine; and 3 (0.4%) xantine stones. Conclusion: Calcium stones, calcium oxalate in particular predominate among other types of urinary calculi in our center. Infection stones still have a considerable incidence that stays near to calcium phosphate calculi. This data can be helpful for dietary recommendations and treatment plans in cases without stone type assessment.
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Abstract (Original Language): 
Amaç: Bölgemizde tedavi edilen üriner sistem taş hastalarının taş kompozisyonunun spektrumunu değerlendirmek. Metod: Ekstrakorporeal şok dalga litotripsi, endoskopik veya çeşitli açık cerrahi yöntemleriyle elde edilenler ile hastaların kendi düşürdükleri toplam 710 üriner taş, laboratuarda esas olarak mineralleri saptamak için kullanılan kimyasal ve fizikokimyasal yöntemler kullanılarak incelendi. Bulgular: Taşların454'ü (%64.9) kalsiyum okzalat, 104'ü kalsiyumfosfat (%14.6), 99'u struvite (%13.9), 24'ü ürik asit (%3.3), 21'i karışık (%2.9), 5'i (%0.7) sistin, 3'ü ksantin (%0.4) idi. Sonuç: Bizim bölgemizde kalsiyum taşları, özellikle kalsiyum okzalat diğer taş tipleri arasında daha fazla görülmektedir. Enfeksiyon taşları da kalsiyum fosfat taşlarına yakın seviyede belirgin bir insidansa sahiptir. Bu veriler taş analizi değerlendirmesi yapılmamış hastalarda beslenme önerileri ve tedavi planları için yararlı olabilir.
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  • 1
166-169
  • Turkish

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