体外冲击波碎石术后联合用坦索罗辛辅助排石的疗效观察  

作　　者：安蜀昆[1] 赵少坚[2] 金松 于跃平[2] 

机构地区：[1]云南省第二人民医院科教科,650021 [2]云南省第二人民医院泌尿外科,650021

出　　处：《当代医学》2012年第3期41-41,共1页Contemporary Medicine

摘　　要：目的探讨体外冲击波碎石术(ESWL)后联合用坦索罗辛治疗泌尿系结石的临床效果。方法采用Dornier Compect碎石机对256例泌尿系结石患者行碎石术。冲击次数1500～3500次。术后随机将患者分为两组:对照组78例,给予止血、抗感染等对症治疗;试验组178例,在常规治疗基础上口服坦索罗辛0.4mg/d,共14d。4周后比较两组术后的排石率。结果试验组结石排尽率为91.4%(147/178),明显高于对照组75.6%(59/78),两组比较差异有统计学意义(P<0.05)。结论 ESWL术后联合用坦索罗辛治疗泌尿系结石安全、有效,可明显提高结石排除率。Objective To evaluate the effect of clinical application of ESWL combined with tamasulosin in urologic stone removed.Methods A total of 256 patients with urologic stone taken on ESWL were divided into two groups：control group（78 cases） were given hemostatic,antibcotics after ESWL;experiment group（178 cases） were treated as the control group,and combined with tamsulosin 0.4mg daily for 14 days.The stone free rate of two groups after 4 weeks were evaluated.Results The complete stone elimination rate in 4 weeks in was 91.4%（147/178） which was higher control group [75.6%（59/78）]（P0.05）.Conclusion The application of ESWL combined with tamsulosion is safe and effective in enhancing stone elimination rate in patients with urologic stones.

关 键 词：泌尿系结石 体外冲击波碎石术 坦索罗辛 

分 类 号：R693.4[医药卫生—泌尿科学]