体外冲击波碎石联合结石通片联用在泌尿系结石中的效果  

Effect of extracorporeal shock wave lithotripsy combined with Jishitong tablets in urinary calculi

作　　者：欧阳健 OUYANG Jian(Zhuzhou 331 Hospital,Zhuzhou,Hunan,412002,China)

机构地区：[1]株洲市三三一医院,湖南株洲412002

出　　处：《当代医学》2022年第4期4-7,共4页Contemporary Medicine

摘　　要：目的分析体外冲击波碎石联合结石通片治疗泌尿系结石的临床效果。方法选取2018年1月至2019年10月本院收治的140例泌尿系结石患者,按照摸球法分为两组,每组70例。对照组行体外冲击波碎石术治疗,观察组在对照组基础上联合结石通片治疗,比较两组临床疗效、结石清除率、恢复情况、炎症指标、肾盂压力及尿量、复发率。结果观察组治疗总有效率为92.86%,高于对照组的72.86%,差异有统计学意义(P<0.05)。观察组术后不同时间点结石清除率均高于对照组(P<0.05)。观察组术后结石排净、疼痛消失时间均短于对照组(P<0.05)。术前,两组炎症指标比较差异无统计学意义;术后1周,两组炎症指标水平均下降,且观察组均低于对照组(P<0.05)。术前,两组肾盂压力、尿量比较差异无统计学意义;术后1周,两组肾盂压力、尿量均增加,且观察组均高于对照组(P<0.05)。观察组结石复发率低于对照组(P<0.05)。结论体外冲击波碎石联合结石通片治疗泌尿系结石效果显著,结石清除率较高,复发率低,值得临床推广应用。Objective To analyze the clinical effect of extracorporeal shock wave lithotripsy combined with Jishitong tablets in the treatment of urinary calculi. Methods 140 patients with urinary calculi admitted to our hospital from January 2018 to October 2019 were selected and they were divided into two groups according to the ball method, with 70 cases in each group. The control group used extracorporeal shock wave lithotripsy, and the observation group took Jishitong tablets on the basis of the control group. The clinical efficacy, stone removal rate, recovery, inflammation indicators, renal pelvic pressure and urine output, and recurrence rate were compared between the two groups. Results The total effective rate of treatment in the observation group was 92.86%, which was higher than 72.86% in the control group, and the difference was statistically significant(P<0.05).The stone clearance rate at different time points in the observation group was higher than that in the control group(P<0.05). The time of stone removal and pain disappearance in the observation group was shorter than that in the control group(P<0.05). Before operation, there was no statistically significant difference in inflammatory indexes between the two groups;1 week after operation, the levels of inflammatory indexes in the two groups decreased, and the observation group was lower than the control group(P<0.05). Before operation, there was no significant difference in renal pelvic pressure and urine output between the two groups;1 week after operation, the renal pelvic pressure and urine output increased in the two groups, and the observation group was higher than the control group(P<0.05). The recurrence rate of stones in the observation group was lower than that in the control group(P<0.05) Conclusion Extracorporeal shock wave lithotripsy combined with Jishitong tablets is effective in the treatment of urinary calculi, with high stone clearance rate and low recurrence rate, which is worthy of clinical application.

关 键 词：体外冲击波碎石 结石通片 泌尿系结石 

分 类 号：R691.4[医药卫生—泌尿科学]