用傅立叶红外光谱测定泌尿系结石中的草酸钙

对泌尿系结石的组成进行结构分析,为分析结石病的产生原因及预防复发提供参考,在临床诊断和治疗上具有重要意义.傅立叶红外光谱是研究泌尿系结石构造的一种较理想的分析手段.用红外光谱仪定量分析泌尿结石中草酸钙采用的内标法、吸光度比值法和一阶导数法进行了比较,建立的分析方法可以简便对草酸钙混合结石中一水草酸钙(COM)和二水草酸钙(COD)进行定量测定,分析结果可初步满足临床诊断的要求.     

The use of thermal analysis in determination of some urinary calculi of calcium oxalate

The human urinary calculi are mainly constituted by calcium oxalate, magnesium ammonium phosphate hexahydrate, and uric acid. The ions or molecules are easily characterized by wet chemical methods. The difficulties appear in the differentiation of the hydrates of calcium oxalate (monohydrate COM or Whewellite, and dihydrate COD or Weddelite). A high level of COD in the urinary stones leads, often, inflammation, sharp pain and blood in urine. In the worse cases, they must be extracted by surgical way. The identification of the main components of urinary calculi, the knowledge of the true number of water molecules bounded to the calcium oxalate, and the determination of each hydrate in the mixture, are the interests of this memory. The thermal analysis (simultaneous DTA-TG) was applied on thirty-three urinary calculi. The determination of the calcium oxalate hydrates was confirmed by calorimetry (DSC). This revised version was published online in July 2006 with corrections to the Cover Date.     

Thermal, UV, FTIR, and XRD studies of urinary stones

Various crystals are seen in human urine. Oxalate, Phosphate, Uric acid, and Urate crystals are generally seen in urinary calculi. Calcium stones are most common, comprising 75 % of all urinary calculi. They may be pure calcium oxalate or calcium phosphate or a mixture of both. Many stones are not homogeneous. Low calcium intake increases the intestinal absorption of calcium, thus decreasing the amount of calcium available in the intestinal tract to form insoluble complexes with Oxalate. Consequently, a higher amount of oxalate is available for intestinal absorption and as a result, urinary oxalate excretion increases. Mineral water consumption did not reduce urinary oxalate excretion. High urinary excretion and concentration of magnesium decrease both the nucleation and growth rates of calcium oxalate crystals in urine, because of the higher solubility of magnesium oxalate compared with calcium oxalate. Analytical results show calcium oxalate to be one of the major inorganic components of renal stones and found to be present in almost all kidney and bladder stones. About 39.5 % of the total composition of the calculi is found to contain purely calcium oxalate and also hydroxyl apatite. The ten samples are a mixture of calcium oxalate and phosphate stones. Four samples are calcium oxalate as major composition and the remaining are calcium phosphate as major composition. These kidney stones are taken photographically and size of the stone are measured using optical microscopy. These qualitative analyses are also confirmed by UV, FTIR, DSC, and XRD analysis.     

Evaluation of the renal calculi compositions

Thermal analysis and infrared (IR) spectroscopy are modern physical–chemical methods suitable for the investigation of the kidney stones composition. The applications of these methods in our work were anticipated by performing the standard thermal analysis and standard infrared spectra on pure compounds: oxalates, phosphate, carbonate, and uric acid. This work reveals a logical algorithm for correlating the experimental data regarding urolithiasis types and compositions by thermal analysis methods, Fourier Transform Infrared (FT-IR) spectroscopy, and second derivative FT-IR spectra. The limits and performance of each analysis method have been highlighted, and by correlating the results of both methods we have obtained comprehensive information for the identification and/or determination of the main components as well as of organic and/or inert impurities in calculi composition. The data regarding the urinary calculi composition are important for the clinical guideline in the prophilaxy and methaphylaxy of urolithiasis.     

Identification of human calculi with time‐of‐flight secondary ion mass spectrometry

Time‐of‐flight secondary ion mass spectrometry was used to study four human calculi and to compare the results with those from twelve commercially available urinary calculi minerals including three organic compounds (L‐cystine, uric acid and sodium urate). Phase identification of calcium phosphate compounds was carried out by considering the relative ion abundances of [Ca₂O]⁺ and [CaPO₂]⁺. Deprotonated [M–H]^? and protonated [M+H]⁺ uric acid were detected and used for component recognition in pure uric acid and in the mixed samples of struvite, calcium oxalate and uric acid. Iodine related to the medical history of a patient was also detected. Copyright © 2009 John Wiley & Sons, Ltd.     

Determination of the composition of sialoliths composed of carbonate apatite and albumin using artificial neural networks

The determination of the components of the sialoliths is important both from the point of view of chances for a successful medical treatment of the patients and because the prevention of further re-occurrence of sialolithiasis depends upon the knowledge of the nature of the constituents of the concrements. Despite the fact that infrared spectroscopy is widely used for the determination of the composition of sialoliths, urinary calculi and bladder stones, we found no data for any chemometric method developed for such purposes. Here, a method is presented for quantitative determination of the content of salivary calculi composed of albumin and carbonate apatite (one of the most often found constituents in the analyzed calculi from the patients from Macedonia) using artificial neural networks (ANN). The results were checked on real samples using the standard addition method. The precision of the method was estimated using the relative standard deviation, which shows that it is suitable for routine analysis.     

Controversy about β-tricalcium phosphate

The calcium phosphate which corresponds to the formula Ca₃(PO)₄ · nH₂O (2<n<3) was isolated from solutions with Ca/P molar ratio 0.2 and pH 7. The compound was characterised by chemical and thermogravimetric analyses, Fourier-transform infrared (FTIR) spectroscopy and X-ray diffraction. The FTIR spectra were compared with spectra of β-tricalcium phosphate (β-TCP) in the atlases for analysis of urinary calculi and other literature data.     

Infrarotspektroskopische Harnsteinanalyse: Automatisierte Spektrenauswertung mit Hilfe der Faktoranalyse

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Analysis of urinary calculi by infrared spectroscopy: Automatic evaluation of the spectra by means of factor analysis

     

Analysis of Urinary Calculi Containing Triamterene. Presence of A Glucuronic Metabolite.

Abstract

Urinary calculi containing triamterene were described since 1979. We have studied calculi, obtained from an anuric patient, by surgery. This paper describes the advanced techniques that were used, such as infrared spectroscopy, nuclear magnetic resonance, mass spectrometry associated with thin-layer chromatography or gas chromatography, to show the presence of unusual compounds. Six metabolites are found, among them pure triamterene (96%), hydroxy-triamterene, and a particular metabolite containing glucuronic acid.