降低气压弹道碎石后结石残留的临床探讨  

The clinical exploration of decreasing the ratio of the remaining urinary calculi after the ballistic lithotripsy

作　　者：闫会秋[1] 井汉国[1] 霍立志[1] 程镇[1] 石汝骥[1] 曹桂萍[1] 周玉霞[1] 

机构地区：[1]山东省聊城市第二人民医院泌尿外科,山东临清252600

出　　处：《现代泌尿外科杂志》2005年第5期284-285,共2页Journal of Modern Urology

摘　　要：目的探讨输尿管镜下气压弹道碎石术后配合中药排石汤治疗降低术后残留结石的有效性。方法248例输尿管结石患者随机分为2组:治疗组与对照组各124例,治疗组在碎石术后服用中药排石汤;对照组碎石术后不服用中药。结果治疗组术后2、4、8周结石残留率分别为4.1%、2.4%、0.8%,对照组结石残留率分别为15.7%、10.7%、9.1%,两组相比差异有显著性(P<0.05)。结论输尿管镜下气压弹道碎石术后配合中药排石汤治疗能降低结石残留率。Objective To explore the efficiency of the treatment of the urinary calculi which remained after the ballistic lithotripsy combined with ureterorenoscopy and the decoction to remove the calculi. Methods 248 cases with urinary calculi were randomly divided into two groups. 124 cases of the therapeutic group received the treatment with the decoction to remove the calculi after the ballistic lithotripsy, while 124 cases of the control group didn＇t. Results The ratio of the remained calculi of the therapeutic group were 4.1%, 2.4% and 0.8% two, four and eight weeks after the operation. And the ratio of the remained calculi of the control group were 15.7%, 10.7% and 9.1% respectively, two, four and eight weeks after the operation. There was significantly statistical difference between the two groups by X2 test（〈0.05）. Conclusion The ratio of the remained calculi can be decreased by the decoction to remove the calculi after the ballistic lithotripsy combined with ureterorenoscopy.

关 键 词：气压弹道碎石术 排石汤 残留率 

分 类 号：R693[医药卫生—泌尿科学]