通淋化石汤联合体外冲击波碎石术治疗输尿管结石的临床疗效观察  

Clinical observation on treating ureteral calculi with the Tongling Huashi decoction plus extracorporeal shock wave lithotripsy

作　　者：徐峰[1] XU Feng

机构地区：[1]苏州市中医医院,江苏苏州215000

出　　处：《中医临床研究》2021年第33期136-137,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:研究输尿管结石患者通过体外冲击波碎石术结合通淋化石汤治疗的效果。方法:抽取苏州市中医医院于2018年6月-2020年6月,收治的输尿管结石患者共96例,将其依循双盲随机法分为对照组(实施单纯体外冲击波碎石术治疗方式)与观察组(实施体外冲击波碎石术结合通淋化石汤治疗方式)各48例,研究比对两组患者的有效率、症状积分、并发症、复发率等。结果:与对照组相比,观察组输尿管结石患者的血尿、腹部绞痛、恶心、尿意或便意等症状积分更低,有效率更高(P <0.05)。与对照组相比,观察组输尿管结石患者的梗阻、感染与积水等并发症发生率更低,治疗后6个月、1年、2年这三个时间段的结石复发率更低(P <0.05)。结论:体外冲击波碎石术结合通淋化石汤治疗对于提高体外冲击波碎石效果,减少并发症发生率等有重要的意义。Objective:To study the effect of extracorporeal shock wave lithotripsy plus the Tongling Huashi decoction(通淋化石汤)on ureteral calculi.Methods:96 patients with ureteral calculi treated from June 2018 to June 2020 were randomly divided into the control group(treated with extracorporeal shock wave lithotripsy only)and the observation group(treated with the Tonglin Huashi decoction more).48 cases in each.The effective rate,symptom score,complications recurrence rate,etc..Results:Compared with the control group,the symptom scores of hematuria,abdominal colic,nausea,urination or defecation in the observation group were lower and the effective rate was higher(P<0.05).Compared with the control group,the incidence of complications such as obstruction,infection and hydronephrosis in the observation group are lower,and the stone recurrence rate are lower 6 months,1 year and 2 years after treatment(P<0.05).Conclusion:Extracorporeal shock wave lithotripsy plus the Tongling Huashi decoction is of great significance for improving the effect of extracorporeal shock wave lithotripsy and reducing the incidence of complications.

关 键 词：输尿管结石 通淋化石汤 体外冲击波碎石术 

分 类 号：R693.4[医药卫生—泌尿科学]