Objective To analyze the components of calculi and metabolic evaluation of patients with urinary calculi in Huishui area.Methods From January 2023 to July 2024,the components of calculi and 24-hour urine analysis results of 226 patients with urinary calculi in Huishui area were analyzed.Among the 226 patients,there were 148 males and 78 females;they were(48.7±6.9)years old.The x2 test was used for the statistical analysis.Results Among the 216 cases who took component analysis,74 cases(34.26%)were identified as calcium oxalate calculi,17 cases(7.87%)uric acid calculi,and 4 cases(1.85%)calcium phosphate calculi;a total of 121 cases(56.02%)presented various types of mixed calculi.Among the 226 cases who took 24-hour urine analysis,220 cases(97.35%)had abnormal metabolism;there were 20 cases(8.85%)of hypercalciuria,179 cases(79.20%)of hypomagnesuria,35 cases(15.49%)of hypernatriuria,12 cases(5.31%)of hyperuricosuria,1 case(0.44%)of hyperphosphaturia,and 76 cases of low urine volume;94 cases(41.59%)had 1 abnormal metabolism,71 cases(31.42%)2,7 cases(3.10%)3,and 3 cases(1.33%)4.Conclusion The prevalence of urinary calculi in Huishui area is associated with the local environment,water quality,and metabolic disorders.