混合型尿路结石的XPS和XRD联合分析

为了深入了解广东省珠江三角洲尿路结石的组份,为临床的相关研究和预防提供参考,采用X-射线光电子能谱(XPS)和X-射线衍射法(XRD)对6例典型的混合型尿路结石成份和物相进行了分析。结果表明,所检尿石成份合一水草酸钙、二水草酸钙、羟基磷灰石,其中2例含有少量磷酸铵镁。随着尿石中磷酸盐的增加,一水草酸钙(COM)的含量减少,二水草酸钙(COD)含量增加,表明磷酸盐的沉积抑制了高能量的COD向低能量的COM转化。采用XPS和XRD联合分析,可以较为准确地检测尿路结石的组份和物相。     

尿液中的纳米晶体组分及其对草酸钙结石形成的影响

采用高分辨率透射电子显微镜、选区电子衍射、能谱分析和X射线衍射对草酸钙(CaOx)结石患者尿液中纳米晶体的组分进行了准确分析。这些技术检测到一水草酸钙(COM)、尿酸(UA)和磷酸钙(CaP)的存在,能谱分析检测到大量C,O,Ca和少量N和P等元素,表明尿纳米晶体的主要组分是COM,并含有少量的尿酸和磷酸盐。电子显微镜观察到CaOx结石患者尿纳米晶体的粒径主要分布在几十纳米,其结果与Scherer公式计算相符。采用不同孔径的微孔滤膜(0.45,1.2和3 μm)将尿液过滤后,得到的尿微晶衍射峰的数量随着滤膜孔径的增加而增加,表明尿微晶的种类增加。CaOx尿石的形成过程涉及尿液晶体的成核、生长、团聚和与细胞的粘附等过程。尿液中大量纳米COM晶体的存在是草酸钙结石形成的重要原因。纳米UA,CaP晶体能够作为晶巢促进草酸钙结石的形成。     

Infrared Analysis of Urinary Stones,Using a Single Reflection Accessory and a KBr Pellet Transmission*

This work is a comparative study of two FTIR techniques applied to urinary stones analysis: single reflection diamond attenuated total reflection (ATR) and KBr pellet transmission (KPT). We show that the two methods allow the identification of all stone components. The ATR technique is more useful and rapid to identify the species without sample pretreatment. Nevertheless, KPT is more appropriate for components determination in urinary stones.

These techniques were applied to the study of a series of 313 calculi. The stone constituents were first identified by ATR, and in a second step, the proportion of each species present in the stone was determined by KPT in whole‐stone mixture.

The results obtained showed the presence of 11 different components classified as follows with the frequency of detection in the stones studied: calcium oxalate monohydrate (whewellite), 78.9%; carbapatite, 33.9%; calcium oxalate dihydrate (weddellite), 24%; uric acid anhydrous, 19.2%; ammonium hydrogen urate, 7%; struvite, 4.8%; cystine, 1%; ammonium sodium urate and other phosphates (amorphous carbonated calcium phosphate, brushite, whitlockite), each in less than 1%.     

不同类型尿石的XRD,FTIR和热释光谱分析

采用热释光谱仪(TLD)、X射线衍射仪(XRD)和红外光谱仪(FTIR)研究了四类不同类型肾结石的化学组分,它们分别是:草酸钙、尿酸、磷酸钙和磷酸铵镁结石.实验结果表明,在所研究的305例尿石中,草酸钙为主要组分的占63%,尿酸22%,磷酸钙8%,磷酸铵镁5%,其他组分2%.四类肾结石的热释光谱存在显著差异,可为临床上诊断肾结石的类型提供启示.     

Spectroscopic investigations on kidney stones using Fourier transform infrared and X‐ray fluorescence spectrometry

Kidney stone is the most painful and prevalent urological disorder of the urinary system throughout the world. Thus, analysis of kidney stones is an integral part in the evaluation of patents having stone disease. Spectroscopic investigations of stones provide an idea about the pathogenesis of stones for its better cure and treatment. Hence, the present work targets multispectroscopic investigations on kidney stones using Fourier transform infrared (FTIR) and wave dispersive X‐ray fluorescence (WD‐XRF) spectroscopy which are the most useful analytical methods for the purpose of bio‐medical diagnostics. In the present study, FTIR spectral method is used to investigate the chemical composition and classification of kidney stones. The multicomponents of kidney stones such as calcium oxalate, hydroxyl apatite, phosphates, carbonates, and struvite were investigated and studied. Qualitative and quantitative determination of major and trace elements present in the kidney stones was performed employing WD‐XRF spectroscopy. The wide range of elements determined in the kidney stones were calcium (Ca), magnesium (Mg), phosphorous (P), sodium (Na), potassium (K), chlorine (Cl), sulfur (S), silicon (Si), iodine (I), titanium (Ti), iron (Fe), ruthenium (Ru), zinc (Zn), aluminum (Al), strontium (Sr), nickel (Ni), copper (Cu), and bromine (Br). For the first time, ruthenium was detected in kidney stone samples employing WD‐XRF in very low concentration. Our results revealed that the presence and relative concentrations of trace elements in different kinds of stones are different and depend on the stone types. From the experiments carried out on kidney stones for trace elemental detection, it was found that WD‐XRF is a robust analytical tool that can be useful for the diagnosis of urological disorders. We have also compared our findings with the results reported using XRF technique. The results obtained in the present paper show interesting prospects for FTIR and WD‐XRF spectrometry in nephrolithiasis. Copyright © 2017 John Wiley & Sons, Ltd.     

Micro‐Raman spectroscopy identification of urinary stone composition from ureteroscopic lithotripsy urine powder

Urolithiasis is a prevalent, disturbing, and highly recurrent disease. Knowing the composition of a urinary stone is important for prevention purposes. Traditional urinary stone analysis methods need large stone fragments for analysis. However, the advancement of ureteroscopic lithotripsy (URSL) has resulted in micro‐stone fragments and unapparently expelled urinary stone powder. In this study, we developed a micro‐Raman spectroscopy (MRS) based diagnosis method for detecting micro‐stones or stone powders in urine after URSL. In our experiment, urine samples of 10 ml each were collected from 12 patients over the fragmented stone site in the ureter after the URSL procedure. The post‐URSL urine sediments extracted from urine were analyzed by MRS. The small urinary stones caught by grasping forceps were analyzed by both MRS and Fourier‐transform infrared (FTIR) spectroscopy. We have identified common urinary stone compositions: calcium oxalate monohydrate (COM), calcium oxalate dihydrate (COD), dicalcium phosphate dihydrate (DCPD), calcium phosphate hydroxide (hydroxyl apatite or HAP), and uric acid, by using a 632.8 nm He‐Ne laser for excitation, a 100× microscope objective lens for irradiation and collection, and a short photobleaching time for fluorescent background reduction. Thus, we developed an MRS‐based method for analyzing the composition of urinary stone powders directly from the urine samples after the URSL procedure. This approach provides a quick and convenient method for urinary stone analysis. Copyright © 2009 John Wiley & Sons, Ltd.     

服药前后草酸钙结石患者尿微晶的性质变化

采用X射线衍射(XRD)、傅里叶变换红外光谱(FTIR)、纳米粒度仪和透射电子显微镜(TEM)研究了6例草酸钙结石患者在服药前后尿微晶性质的变化.结果表明,服药后尿pH值由服药前的5.87±0.51增加至6.23±0.74;服药前的主要成分为尿酸、一水草酸钙(COM)和磷酸氢盐,服药后尿微晶种类和数量均比服药前减少;服药前,尿微晶的平均粒径为(579±326) nm,服药后减小至(404±338) nm;服药前尿微晶的Zeta电位为(-4.28±2.55) mV,服药后为(-7.29±4.16) mV,Zeta电位变负有利于防止尿微晶沉积;服药前尿微品棱角尖锐,有明显的团聚现象,而服药后尿微晶形貌圆钝,团聚较少.采用现代仪器分析研究服药前后草酸钙结石患者尿液微晶的性质变化,对临床上预防和治疗尿结石具有重要的临床意义.     

X射线衍射法在泌尿系结石研究中的应用

泌尿系结石是一种世界范围的常见病、多发病。准确分析尿石的化学成分和物相,有助于了解泌尿系结石的形成机制。X射线衍射法(XRD)是进行泌尿系结石研究的最重要方法之一,用作定性分析时具有可靠性,用作定量分析时具有准确性,且检测简便迅速、灵敏度高、多组分和多晶态可一次性检测。文章综述了XRD在泌尿系结石定性和定量分析中的应用以及XRD与质子激发X射线发射光谱(PIXE)、X射线光电子能谱(XPS)和原子力显微镜(AFM)等联合分析尿石的研究进展。     

海带多糖对草酸钙结晶过程中晶相的影响

采用X射线衍射(XRD)、红外光谱(FTIR)、扫描电子显微镜(SEM)和原子吸收光谱(AAS)等方法研究了从海带中提取的硫酸多糖(SPS)对尿结石主要成分草酸钙结晶的影响。SPS可以稳定热力学亚稳定的二水草酸钙(COD)晶体。随着SPS浓度从0增加到0.60 mg·mL-1,COD晶体的质量百分比从0增加到100％;亚稳溶液中草酸钙的相对过饱和度从1.0增加到19.6。SPS可以稳定COD晶体在溶液中的存在并增加可溶性Ca2+离子的浓度,这有利于防止草酸钙结石形成。结果表明,SPS是一种潜在的防止草酸钙尿结石形成的药物。     

二元羧酸的化学结构与其抑制草酸钙结晶能力研究

采用X射线衍射(XRD)、傅里叶红外光谱(FTIR)和扫描电镜(SEM)研究了相距3个C—C键长具有不同取代基的二元羧酸对草酸钙(CaOxa)晶体生长的影响。这些二元酸包括丁二酸、顺丁二烯酸、反丁二烯酸、苹果酸、天冬氨酸和酒石酸。它们均能抑制一水草酸钙(COM)晶体的聚集,减小COM比表面积,并诱导二水草酸钙(COD)生成,其能力随二元酸上取代的—OH或—NH₂基数量增加而增强。从二元羧酸化学结构讨论了其影响草酸钙结晶效果的分子机理,对COM生长具有最佳抑制效果的羧酸是含有HOOC—CH(R)—CH₂—COOH(ROH或NH₂)分子的化合物。实验结果可为临床上寻找新的防石药物提供参考。     

Infrared spectroscopy for the study of urinary calculi

The occurance of the urinary stones varies according to the geographical regions. The presence of stones in the urinary system causes pain and discomfort. These generate colics and hence are sometimes life threatening. In the present study, infrared measurements have been made on several stone samples. It has been found that calcium oxalate, calcium phosphate, magnesiunm ammonium phosphate, calcium carbonate, uric acid, -cystine and xanthin are present, as expected. Also, silicon dioxide is found to be present in some of the stones but in small quantity, in addition to the above constituents. This constituent is responsible to exhibit piezoelectricity in the urinary calculi.     

草酸钙结石患者尿液中纳米级和微米级晶体研究

尿液中存在的微晶与尿石症的形成密切相关。采用X射线粉末衍射(XRD)、傅里叶变换红外光谱(FTIR)、纳米粒度仪、扫描电子显微镜(SEM)和透射电子显微镜(TEM)研究了20位草酸钙结石患者尿液中纳米级和微米级晶体的组分、形貌和Zeta电位,并与结石组分进行了比较。结果表明,草酸钙结石中常常含有少量共生的尿酸、磷酸钙和磷酸铵镁;而草酸钙结石患者的尿微晶组分主要为尿酸、磷酸盐和草酸钙等,晶体棱角尖锐,尺寸不一,从几十纳米到几十微米不等,并且有明显的团聚现象。20位草酸钙结石患者的尿纳米晶体的Zeta电位平均值为-5.92 mV,明显高于20位健康对照者尿纳米晶体的Zeta电位(平均值-12.9 mV);相比之下,结石患者尿液pH值(平均值为6.03)则与健康对照者(平均值5.92)没有明显差异。利用现代仪器分析方法分析尿液微晶与尿石组分的关系,可为临床上对症下药,制定预防与治疗措施提供重要的依据。     

磷酸铵镁结石患者尿微晶组分分析及其与结石形成的关系

采用X射线衍射(XRD)、傅里叶变换红外光谱(FTIR)、纳米粒度仪、扫描电子显微镜(SEM)和透射电子显微镜(TEM)研究了磷酸铵镁结石患者尿液中微晶的组分、形貌、粒径和Zeta电位,并对其结石进行了组分分析.结果表明,结石类型、尿微晶组分和尿液pH三者之间存在密切的联系:磷酸铵镁结石病人的尿液pH值较高,通常在6....     

Experience with the [13C2]oxalate absorption test

Hyperoxaluria is the most important risk factor for a formation of calcium oxalate-urinary stones. Usually, the bulk of oxalate will be formed in the human body, but in many patients the oxalate from food plays the decisive role. Conventionally, in urine the endogenous oxalate can not be distinguished from food derived oxalate. We have developed a standardized oxalate-absorption test, applying a physiological dose (50 mg disodium salt of [13C2]oxalic acid) of labelled oxalate. The assay has been published. Now we report on the first extensive applications of this test in 86 volunteers and 135 patients from different groups with calcium oxalate stones or an increased risk of the formation of such stones. In one-third of the patients with calcium oxalate-urinary stones an oxalate hyperabsorption was diagnosed. For these patients, a dietetic stone prophylaxis and/or therapy is indicated.     

The effect of oral administration of calcium and magnesium on intestinal oxalate absorption in humans

Calcium oxalate (CaOx) urolithiasis is the most common urinary stone disease (70-75 % of all stones consist of CaOx in countries with western diet). Oxalate is the most lithogenic substance in CaOx crystallisation in urine. Oxalate is either synthesized within the body or absorbed from food. As oxalate is not metabolized in the human body, it appears unchanged in urine. Conventional analysis methods cannot distinguish between endogenous and exogenous oxalate. Our [13C2]oxalate absorption test enabled measurement of intestinal oxalate absorption and quantification of the influence of Ca- and Mg-supplementation on it. The effects of the oral administration of these supplements were compared in order to obtain valid data for recommendations for CaOx urolithiasis patients. A 10 mmol supplement of both ions decreased the oxalate absorption significantly, calcium being more than twice as effective.     

Experience with the [13C2]Oxalate Absorption Test

Abstract

Hyperoxaluria is the most important risk factor for a formation of calcium oxalate-urinary stones. Usually, the bulk of oxalate will be formed in the human body, but in many patients the oxalate from food plays the decisive role. Conventionally, in urine the endogenous oxalate can not be distinguished from food derived oxalate. We have developed a standardized oxalate-absorption test, applying a physiological dose (50 mg disodium salt of [¹³C₂]oxalic acid) of labelled oxalate. The assay has been published. Now we report on the first extensive applications of this test in 86 volunteers and 135 patients from different groups with calcium oxalate stones or an increased risk of the formation of such stones. In one-third of the patients with calcium oxalate-urinary stones an oxalate hyperabsorption was diagnosed. For these patients, a dietetic stone prophylaxis and/or therapy is indicated.     

TOF-SIMS study of cystine and cholesterol stones

Two different human stones, cystine and cholesterol from the kidney and gall bladder, were examined by time-of-flight secondary ion mass spectrometry using Ga(+) primary ions as bombarding particles. The mass spectra of kidney stone were compared with those measured for the standard compounds, cystine and cysteine. Similar spectra were obtained for the stone and cystine. The most important identification was based on the existence of the protonated molecules [M + H](+) and deprotonated molecules [M-H](-). The presence of cystine salt was also revealed in the stone through the sodiated cystine [M + Na](+) and the associated fragments, which might be due to the patient treatment history. In the gallstone, the deprotonated molecules [M-H](+) of cholesterol along with relatively intense characteristic fragments [M-OH](+) were detected.     

尿液pH变化与尿液中纳米微晶组分的关系

采用X射线衍射(XRD)和傅里叶变换红外光谱(FTIR)研究了尿液pH变化与尿液中纳米微晶组分的关系。不但尿pH差异大的不同人尿液中微晶组分存在差异,而且同一人的尿pH发生变化时,其尿微晶亦发生变化。尿pH值较低(如pH＜5.8)时,主要为尿酸、酸式磷酸盐和草酸钙等;尿pH值较高(如pH＞6.2)时,主要为尿酸盐、磷酸盐、磷酸铵镁和草酸钙等。联合运用XRD和FTIR两种方法,可以更好地检测尿液中晶体组分,有助于了解尿石症的成因。     

红外光谱法在草酸钙结石研究中的应用

泌尿系结石是一种世界范围的常见病。草酸钙是泌尿系结石中最常见的组分 ,尿石中的草酸钙主要是以一水草酸钙 (COM)、二水草酸钙 (COD)的形式存在。区分草酸钙结石中的COM和COD及其比例 ,对于准确诊断结石的成因和提出正确的预防其复发的方法非常重要。红外光谱法是研究泌尿系结石的一种较理想的常用方法 ,具有快速、简便、鉴定成分准确、使用样品少、可以回收等优点。文中重点综述了傅里叶变换红外光谱 (FTIR)在泌尿系结石研究中对COM和COD的定性和定量分析方法 ,并介绍了零交叉点一次导数光谱法、FTIR与四极质谱仪、FTIR与傅里叶变换拉曼光谱仪 (FTRS)联合分析尿石的方法。     

福建寿山黑田与坑头黑的谱学与矿物学研究

寿山石是我国国石候选石之一,也是四大图章石之首。寿山石中黑田为黑色田黄石,是田黄中的特殊品种,产于寿山溪两旁的田地中。母源区坑头占的位置产有黑色坑头石。本文将黑田与母源区的黑色坑头石(坑头黑)进行对比研究,采用X射线粉晶衍射(XRD)、红外吸收光谱(IR)、激光剥蚀等离子质谱仪(LA-ICP-MS)和扫描电镜(SEM)对它们的矿物成分、红外吸收峰特征、颜色成因以及矿物的微区形貌特征进行对比研究。测试结果显示,黑田与坑头黑的矿物成分不同,红外光谱和X射线粉晶衍射分析表明坑头黑以地开石为主;另外,X射线粉晶衍射分析表明坑头黑中可含有杂质矿物如叶蜡石、伊利石、黄铁矿和石英。而红外光谱和X射线粉晶衍射分析表明黑田的主要成分为地开石或者珍珠陶石;另外,X射线粉晶衍射分析表明黑田中含有少量的硫磷铝锶矿和镁硫铁矿。黑田与坑头黑的矿物微形貌也存在差异,黑田矿物晶粒大小不一致、片状晶体颗粒边缘圆化,说明黑田中矿物晶体曾遭受过水岩反应的溶蚀改造作用。而坑头黑中地开石结晶程度良好,晶粒呈片状,边棱尖锐,晶体颗粒大小较为一致,说明坑头黑为原生矿。根据LA-ICP-MS微量化学成分分析测试,初步认为黑田与坑头黑的黑色皆与Fe元素致色有关,该结论有待进一步测试研究。