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。

Study on Nano-and Microcrystallites in the Urines of Calcium Oxalate Stone Formers

The crystallites in urine are related closely with the formation of urolithiasis. In the present paper the composition, morphology and Zeta potential of crystallites of twenty calcium oxalate stone formers were comparatively studied using X-ray diffraction (XRD), Fourier transform infrared (FTIR) spectroscopy, nanoparticle size analyzer, scanning electron microscopy (SEM) and transmission electron microscopy (TEM). The results showed that calcium oxalate calculi usually coexisted with a little of uric acid, calcium phosphate, and magnesium ammonium phosphate. By contrast, the compositions of urine crystallites of the patients with calcium oxalate calculi were mainly uric acid, phosphate, calcium oxalate and so on. Most of them had sharp angularity with a particle size distribution ranging from tens of nanometers to tens of microns; and obvious aggregation was observed. The negative value of Zeta potential of urine crystallites in the twenty stone formers (average value -5.92 mV) was less than that in the twenty normal subjects (-12.9 mV). However, there was no obvious difference in the urine pH between stone formers (average pH 6.03) and normal subjects (average pH 5.92). The study on the relationship between urine crystallites and urinary calculi components will be helpful for finding out the causes of urolithiasis and providing an important basis for the scientific prevention methods and reasonable treatments in clinic.